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HVAC Contractor Registration (Official PDF)

Building Department · St. Joseph County, Indiana

Editable official PDF

Edit the agency’s original form, save your draft, attach documents, and review your completed PDF before signing or ordering delivery.

Print and mail service is available for your prepared packet. Review the destination and the agency’s acceptance requirements before ordering. Government payment is separate from document and postage charges.

Applicant inputs are mapped directly on the official agency PDF. Agency receipt and professional certification fields remain reserved.

Official form and instructions
Your application steps6 steps · Building DepartmentView steps
  1. 1Prepare your answersComplete here

    Edit and save your answers on the official PDF.

    Official source
  2. 2Add supporting documentsComplete here

    Attach the supporting records listed by the agency. Check that every page is legible and complete.

    • Include all supporting documents and plans listed on the official PDF checklist.
    • The agency reviews the completed application before issuing a permit or license.
    • Provide the original signed surety bond or continuation certificate required by the registration instructions. A printed copy does not replace a required original.
    • Complete the sworn declaration with a notary; leave notary fields for the notary to complete.
  3. 3Review and signPrepare here, finish outside

    Complete each applicable applicant signature after reviewing the full declarations. Required notary, professional and witness signatures remain separate.

  4. 4Choose paymentPrepare here, finish outside

    $125 annual registration fee. New electrical/HVAC applications require a separate $50 review fee; missed renewal years may add charges. Government fees are separate from the optional prepared PDF and postage. Review the exact amount and recipient before authorizing a check.

  5. 5Submit or order deliveryPrepare here, finish outside

    Submit this official application and all required supporting documents to the Building Department by mail or email. Fees are assessed separately under the current schedule; keep the application and payment reference together. Complete the notarial act and supply required originals before delivery. Confirm the exact fee and check payee with the department before ordering a separate government-fee payment.

    Official submission instructions
  6. 6Keep your receiptComplete here

    Save your agency confirmation and payment receipt. Track any mailing from My applications. Delivery does not mean the agency approved your application.

Official requirements and sources

Complete your application

Required fields are marked *. Fields follow the agency’s published form. Save your work before leaving this page.

Fill in the official form

Select a highlighted blank and type directly. Use Field list for larger controls and any answers that need a continuation page.

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PAYMENT: CHECK# CARD *WE DO NOT ACCEPT AMERICAN EXPRESS CASH *EXACT PAYMENT MAY BE REQUIRED IF WE ARE UNABLE TO MAKE CHANGE FOR CASH PAYMENTS *Applications can be emailed to cpalafox@southbendin.gov for review. NEW HVAC CONTRACTOR REQUIREMENTS *Also if your license has expired past 6 months *An HVAC Contractor’s License may be issued to a person who is principally engaged in the business of heating, air conditioning, and/or ventilating contracting. This license entitles the holder and his/her employees to perform heating, air conditioning, and ventilating contracting work and to sell approved heating, air conditioning, and ventilating apparatus and devices. *Application must be submitted and approved prior to Licensing *If your License has expired more than 6 months, an updated application, documents, and payment must be submitted and approved Complete the Application Form (page 2) Submit a photo ID (e.g. driver’s license) Be at least twenty-one (21) years of age Provide a statement from the Police Department of their local municipality indicating whether or not the applicant has ever been convicted of a misdemeanor or felony and if so, the crimes convicted of and the dates and places of such convictions Have at least four (4) years(or equivalent)experience in the installation, repair and maintenance of heating, air conditioning, and ventilating equipment, apparatus or equipment; and is able to furnish proof of such experience Submit a letter of reference from each contractor listed on the application verifying apprenticeship. If you are the owner of the business, provide similar verification (e.g. Articles of Incorporation, W-2 forms, etc.) from the last 4 years. Submit a fifty dollar ($50.00 non-refundable application fee EXCELLENCE I ACCOUNTABILITY I INNOVATION I INCLUSION I EMPOWERMENT 215 S. Martin Luther King Jr. Blvd. | Suite 100 | South Bend, IN 46601 | p. 574.235.9554 | f. 574.235.5541 | www.southbendin.gov

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Review every page before signing. Professional, agency and notary signature areas stay reserved.Original blank form