MIAMI SHORES VILLAGE
Private Provider Registration
Building Department | Registration & Information Submission
Welcome to the Miami Shores Village Private Provider Registration Form.
Miami Shores Village provides this form for private providers and private provider firms to submit registration information in accordance with Section 553.791, Florida Statutes.
Please complete the form below and provide the requested professional credentials, contact information, and supporting documentation. Accurate and complete information helps the Building Department maintain current registration records.
Before You Begin
- Have your professional license information available.
- Prepare applicable insurance information and documentation.
- Provide accurate firm and authorized representative details.
- Review your information before submitting the form.
Important: Registration does not replace applicable licensing, insurance, or project-specific notification requirements. Submission of information does not constitute independent verification of professional qualifications.
Public Records Notice: Information submitted to Miami Shores Village may be subject to disclosure under Chapter 119, Florida Statutes, unless an applicable exemption applies. Please do not submit Social Security numbers or other sensitive personal information unless specifically required.