Hendry County Building Licensing & Code Enforcement

Post Office Box 2340 • 640 South Main Street • LaBelle, Florida 33975 • (863) 675-5245 • Fax: (863) 674-4194• 1100 olympia – Clewiston, Florida 33440 – Phone (863) 983-1463 – Fax: (863) 983-1467

Hendry County Specialty Contractor’s Renewal Form

Name: ______________________________________________________________________________

Company Name: ______________________________________________________________________

License Type: __________________________ License Number: ____________________________

Home Address: _______________________________________________________________________

Street City State Zip

Mailing Address: ______________________________________________________________________

Street City State Zip

Home Phone: ( )______________________ Fax #: ( )_______________________________

Office Phone: ( )______________________ Cell Phone: ( )__________________________

E-Mail Address: ______________________________________________________________________

Office Address: _______________________________________________________________________

Street City State Zip

Mailing Address: ______________________________________________________________________

Street City State Zip

The following items must be provided to renew with Hendry County.

 Copy of Drivers License

 Copy of Liability and Workers Compensation Insurance Policy (Certificate holder Hendry County)

 Copy of Business Tax License (Occupational)

 $120.00 Renewal Fee

Please mail to: Hendry County Building Department

Attn: Contractor Licensing

P.O. Box 2340

LaBelle, FL 33975