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Meeting Date:Deadline:Construction Trades Qualifying BoardAPPLICATION FORPERSONAL CERTIFICATION**Exam or Non-Exam Categories**APPLICATION FEESPERSONAL APPLICATIONJOURNEYMAN AND MAINTENANCEMAN . 240.00MASTER AND INSTALLER. . 315.00BUILDING/BUILDING SPECIALTIES PERSONAL CERTIFICATE. . . . 315.00NOTE: JOURNEYMAN AND MAINTENANCEMAN IS NOT A CONTRACTORS LICENSE.MAKE CHECK PAYABLE TO: MIAMI-DADE COUNTYRefunds may be granted under specific circumstances and in those cases, there will be a non-refundable processing fee of 80. Refundrequests must be made in writing no later than 180 calendar days from the board approval date. Original receipt must be presented for arefund.APPLICATION SUBMITTALReturn this application and all supporting documents by mail or hand deliver to the Miami-Dade County Regulatory and EconomicResources Department, Contractor Licensing Section, 11805 S.W. 26 Street, Room 207, Miami, FL 33175-2474. If you have questions,please contact one of the following Contractor Licensing staff at (786) 315-2880.Licensing RepresentativeLicensing RepresentativeLicensing RepresentativeLicensing RepresentativeLicensing RepresentativeLicensing ReoresentativeSupervisorKaren JacksonJuliet ArveloJulio CoronadoMelinda ThomasRonnie DiazMaxine CanovasJose Lezcano*For Engineering categories, return application and all supporting documents to the Public Works Department at 111 NW 1st Street,Suite 1510, Miami, FL 33128. For further information call (305) 375-2705.FILING DATEAll Licensing applications must be reviewed and approved by the Construction Trades Qualifying Board. The completed applicationalong with the supporting documents and fees must be received by the Board meeting deadline. A notice will be sent to the applicantindicating the results of Board and you may also contact us the following Monday after the meeting.
CONSTRUCTION TRADES QUALIFYING BOARDLIST OF CERTIFICATION CATEGORIESBUILDINGGeneral Contractor**Building Contractor**Residential Contractor**BLDG0001BLDGBLDG000200034 years’ experience - one as a supervisor/forman4 years’ experience - one as a supervisor/forman4 years’ experience - one as a supervisor/formanBUILDING SPECIALTIESCaulkingCanvas AwningCommunication Tower*Concrete FinishingConcrete Forming and Placing*Concrete Slab Sawing & Core Drilling*Demolition*DoorDrywall*Fence*Finish CarpentryFlagpoleFlooringGarage and Industrial DoorGlass and Glazing*Gypsum Drywall InstallerGypsum Drywall FinisherInsulation and Acoustical TileLimited Residential RepairLathing and Plastering*Decorative Concrete & Masonry FenceMetal Awning & Storm Shutter*Metal Decking & Siding*Metal PartitionMiscellaneous Metals*Ornamental IronPaintingPneumatic Concrete &Pressure Grouting*Pre-stressed Pre-castConcrete Erection*BLDG 00092 years’ experienceBLDG 00081 year experienceBLDG 00103 years’ experienceBLDG 00112 years’ experienceBLDG 00123 years’ experienceBLDG 00131 year experienceBLDG 00153 years’ experienceBLDG 00161 year experienceBLDG 00171 year and 6 monthsBLDG 00181 year experienceBLDG 00532 years’ experienceBLDG 00191 year experienceBLDG 00201 year experienceBLDG 00221 year experienceBLDG 00233 years’ experienceBLDG 01152 years’ experienceBLDG 01162 years’ experienceBLDG 00252 years’ experienceBLDG 01193 years experienceBLDG 00263 years’ experienceBLDG 0027(CANNOT INSTALL FENCES)1 year experienceBLDG 00291 year experienceBLDG 00313 years’ experienceBLDG 00321 year experienceBLDG 00343 years’ experienceBLDG 0035(CANNOT INSTALL FENCES) 2 years' experienceBLDG 00781 year experienceBLDG00383 years’ experienceBLDG00393 years’ experience*EXAM CATEGORIES - JOURNEYMAN AND MAINTENANCE CATEGORIES TAKE ONLY ONE PART EXAM (TECHNICAL). ALL OTHER CATEGORIESTAKE TWO PART EXAM (TECHNICAL ANDBUSINESS). **CATEGORIES REQUIRING STATEREGISTRATION
Public SeatingBLDG00413 years experienceReinforcing Steel Placing*Roof**Roof Deck*Screen Enclosure*Sheet Metal Gutter & DownspoutShower and Tub EnclosureSign – Non Electric*Structural Steel Erection*Swimming Pool**Tennis Courts SurfacingTraditional Thatched HutUnit Masonry, Marble, Ext 0054005500560117005901093 years’ experience3 years’ experience1 year experience1 year experience1 year experience1 year experience3 years’ experience5 years’ experience3 years’ experience1 year experience2 years’ experience3 years’ experience3 years’ experienceMAINTENANCEBuilding Maintenance*Maintenance Electrician*Mechanical Maintenance*Plumbing Maintenance*BLDGELECMECHPLUM00070005001200041 year experience1 year experience1 year experience1 year experience00010002000800040037000300063 years’ experience3 years’ experience3 years’ experience3 years’ experience2 years as journeyman2 years as journeyman2 years’ experience2 years as journeyman2 years’ experience2 years as journeyman2 years’ experiencePLUM 0001PLUM 0001PLUM 00033 years’ experience2 years as journeyman2 years’ experienceELECTRICALJourneyman Electrician*Journeyman Burglar Alarm*Journeyman Fire Alarm*Journeyman Sign Electrician*Master Electrician**Master Burglar Alarm**Master Electrical Utility**Master Fire Alarm**Master Low Voltage**Master Sign Electrician**Master TV ECPLUMBINGJourneyman Plumber*Master Plumber**Lawn Sprinkler**EXAM CATEGORIES - JOURNEYMAN AND MAINTENANCE CATEGORIES TAKE ONLY ONE PART EXAM (TECHNICAL). ALL OTHER CATEGORIESTAKE TWO PART EXAM (TECHNICAL ANDBUSINESS). **CATEGORIES REQUIRING STATEREGISTRATION
Master Pool Maintenance (limited)*PLUM 0008Master Pool Maintenance (unlimited)* PLUM 0009Master Swimming Pool Piping*Master Portable Chemical ToiletsPLUM 0010PLUM 00052 years’ experience2 years’ experience2 years’ experience2 years’ experienceMECHANICALJourneyman Air Conditioning*MECHJourneyman Gasoline Tank & Pump* MECHJourneyman General Mechanical*MECHJourneyman Heating*MECHJourneyman Insulation*MECHJourneyman Pneumatic Control Piping* MECHJourneyman Pressure & Process Piping* MECHJourneyman Refrigeration*MECHJourneyman Room Air Conditioning* MECHJourneyman Sheet Metal*MECHJourneyman Steam GeneratorMECHJourneyman Boilers & Piping*Journeyman Warm Air Heating*MECHMaster Air Conditioning Limited**MECHMaster Air Conditioning Unlimited** MECHMaster Ammonia Refrigeration*MECHMaster Gasoline Tank and Pump*MECHMaster General Mechanical**MECHMaster Heating*MECHMaster Insulation*MECHMaster Pneumatic Control Piping*MECHMaster Pneumatic Tube Conveyor*MECHMaster Pressure & Process Piping*MECHMaster Refrigeration & Air Condition** MECHMaster Refrigeration Limited*MECHMaster Refrigeration Unlimited*MECHMaster Room Air Conditioning*MECHMaster Sheet Metal*MECHMaster Steam GeneratorMECHMaster Boiler and Piping*Master Transporting Assembly Install* MECHMaster Transporting AssemblyMaintenance & Service*MECHMaster Warm Air 233 years’ experience3 years’ experience3 years’ experience3 years’ experience3 years’ experience3 years’ experience3 years’ experience3 years’ experience3 years’ experience3 years’ 00150016001700180019002100233 years’ experience3 years’ experience2 years as journeyman2 years as journeyman2 years as journeyman2 years as journeyman2 years as journeyman2 years as journeyman2 years as journeyman2 years as journeyman2 years’ experience2 years as journeyman2 years as journeyman2 years as journeyman2 years as journeyman2 years as journeyman2 years as journeyman002400252 years as journeyman2 years as journeyman002600272 years’ experience2 years as journeyman*EXAM CATEGORIES - JOURNEYMAN AND MAINTENANCE CATEGORIES TAKE ONLY ONE PART EXAM (TECHNICAL). ALL OTHER CATEGORIESTAKE TWO PART EXAM (TECHNICAL ANDBUSINESS). **CATEGORIES REQUIRING STATEREGISTRATION
Construction Trades Qualifying BoardDEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES11805 S.W. 26 Street, Room 207Miami, FL 33175-2474PHOTOGRAPHOne recent photo must beattachedSECTION A: to be filled out by the individual that is filing for aPERSONAL CERTIFICATIONPLEASE TYPE OR PRINT (must be legible). An answer must be provided for each question. If aquestion does not apply indicate “N/A”.Trade category applying forIf exam category, provide exam Language preference if other than English1.NameLast 4 digits of SS#Phone: HomePager or CellularWorkFax: Email Address:Address City State Zip CodeDriver’s License No. Place of Birth Date of Birth AgeInclude copy of Driver’s License2.Number of years working in trade applied for:3.If applying for a MASTER examination and the prerequisite is a Miami-Dade County Journeyman certification, when did you pass theYrs. as a Trainee:Yrs. as Journeyman:Journeyman examination?4.Have you previously taken an examination in Miami-Dade County in the category you are now applying for?Yes NoIf Yes, when?5.Were you previously denied in Miami-Dade County to take an examination? If yes, in which category and for which exam date?CategoryExam date6.As a condition of this application, you will be responsible for becoming familiar with and abiding by the requirements of Chapter 10 ofthe Code of Miami-Dade County. Have you read Chapter 10 of the Code of Miami-Dade County? Yes No7.Do you hold a certificate/license in any of the construction trades issued by any county or state board? Yes NoIf yes, attach copy.IMPORTANT NOTE!Before the Construction Trades Qualifying Board can review your application all trade experience must be documented by letters, W-2 forms,and/or other documentary proof of such experience from all subject employers. It is the applicant’s responsibility to contact employers andobtain from them such documentary proof. In place of the letter, an 'Affivavit of Experience' form included with this application can be completedby the employer and provided upon filing the application.TRADE EXPERIENCE8.List below your complete trade experience related to the category for which you are applying starting with the most recent. Beaccurate and detailed and If additional space is needed please use back of this page.DATEFROM: Month/Yr.CompanyStreetCityStateZipLicense NumberStateZipLicense NumberStateZipLicense NumberIn what capacity did you work, or what did you do?CompanyStreetCityIn what capacity did you work, or what did you do?CompanyStreetCity1TO: Month/Yr.
In what capacity did you work, or what did you do?CompanyStreetCityStateZipStateZipLicense NumberIn what capacity did you work, or what did you do?CompanyStreetCityLicense NumberIn what capacity did you work, or what did you do?EDUCATION9.Please provide the following information about your educational background.HIGH SCHOOL City State YearIf applicable General Education Degree (GED) City State YearVOCATIONAL/TRADE SCHOOL City State YearCOLLEGE City State YearDEGREE TITLE Year ObtainedPOST GRADUATE City State YearOTHER SCHOOLING (Military Service or other)LIST RELEVANT SCHOOL COURSES TAKENLICENSURESFUTURE BUSINESS INTENT(Not applicable to Journeyman and Maintenanceman applicants)If you intend to go into business and qualify a company after obtaining your master or building personal certificate you must complete theappropriate business application for Board approval.2
RESUME OF APPLICANT’S EXPERIENCEIn order for the CTQB to properly assess your experience in terms of authorized scope of work categories listed in Chapter 10 of the Code ofMiami-Dade County, it is required that you complete this resume.11.PLEASE EXPLAIN IN DETAIL THE WORK YOU HAVE PERFORMED IN THE FIELD IN CONJUNCTION WITH THE CATEGORY INWHICH YOU ARE REQUESTING TO BE CERTIFIED. IN ADDITION, HIGHLIGHT THOSE JOBS THAT BEST DEMONSTRATE THESKILLS REQUIRED FOR THE APPLICABLE TRADE.(ATTACH ADDITIONAL SHEET IF NECESSARY)I certify that the above described work and experience recorded represents to the best of my knowledge all information relative to the scope ofwork and category for which I am applying. I further certify that all supporting documentation submitted with this application is true and accurate.I understand that an issuance of a personal certificate does not permit me to act as a contractor in the trade concerned and in order to work inthe trade I must be employed by a licensed contractor or apply for business certificate of competency. I realize that if I do contract without acontractor’s business certificate of competency, I will face the possibility of receiving a fine of up to 5,000 on each count and my personalcertificate could be suspended or revoked by the Miami-Dade County Construction Trades Qualifying Board. I understand that refunds may begranted under specific circumstances but will not include a non-refundable process fee of 80.XApplicant’s SignatureSTATE OFCOUNTY OFThe foregoing instrument was acknowledged before me this day of ,20 , by , who is personally known to me or who hasproduced a as identification and who did / did not take an oath.NOTARY PUBLIC3
Construction Trades Qualifying Board AFFIDAVITOF TRADE EXPERIENCEMUST BE COMPLETED BY THE QUALIFIER VERIFYING EXPERIENCEand who is currently qualifying the company belowThis is to certify thatis/wasemployed or subcontracted bylocated atTelephone #:fromtoHis/her total length of time in the field wasThe specific type of work performed consisted of the following:License #Issued byas aContractor.Signature:Print:STATE OF FLORIDA)COUNTY OF DADE)SS:I hereby certify that on this day of . A.D. 20 before me didpersonally appear to me known to be the person described in and who executed the forgoing instrument and didacknowledge that he/she executed the same freely and voluntary and for the uses and purposes thereinmentioned and that all statements contained therein are true and honest to the best of his/her knowledge.WITNESS my signature at Miami, in the County and State aforesaid on the day and year last aforesaid.My commission expiresNOTARY PUBLIC:
Educational Prerequisite for allNon-Examination Categories of LicensureEach individual making application for a non-examination category of licensure, shall obtain ,sixteen (16) hours of formal classroom training through attendance at courses provided byMiami-Dade County approved course sponsors.Of the sixteen (16) hours, a minimum of one (1) hour shall be required in each of thefollowing courses:(a) Workplace safety/OSHA(b) Business practices(c) Workers’ compensation(d) Laws and rules regulating the construction industryAcceptable topics of these courses are shown below:(a) Safety/OSHA topics include: courses related to: OSHA safety; workplace safetyprograms; safety manuals; ladders and scaffolding; electrical safety; fire safety; andprocedures for the safe use of tools and equipment.(b) Business practice topics include: courses related to bookkeeping and accountingpractices; managing cash flow; estimating and bidding jobs; negotiating andinterpreting contracts and agreements; processing change orders; controllingpurchasing; scheduling; controlling expenses; insurance and bonding related toconstruction; complying with payroll and sales tax laws; interpreting financialstatements and reports related to construction; and the Florida Construction Lien Law,Florida Statute 713 Part I.(c) Workers’ compensation topics include: courses related to Florida Statute 440compliance; drug free workplace; calculating and assigning workers’ compensationcosts; premium modification and adjustments.(d) Laws and rules topics include: courses related to Chapter 10 of the Code of MiamiDade County, Florida Statute 553 Part IV and other construction contracting rules andregulations.Miami-Dade County approved courses shall be used to satisfy any remaining elective hoursof required training necessary to complete the mandatory minimum of sixteen (16) hours.These courses may include topics related to: Trade specific knowledgeThe Florida Building CodeEthicsEPA lead renovation proceduresConstruction liability insurance requirementsContract administration and project management activitiesOperation of a construction contracting firm
CHECKLISTPersonal Application-Exam or Non-ExamCopy of Drivers LicenseCopy of Social Security CardPassport Size PhotographNotorized Experience Letter/Affidavit (ORIGINAL ONLY) from alicensed contractor and signed by the qualifier verifyingrequired experience AND/OR W-2's.If master application in electrical, plumbing or mechanicalcategories it's recommended both experience letter and W-2's.If journeyman application both experience letter AND W-2's arerequired. W-2's must reflect full time employement.If waterproofing category also provide a certificate as aninstaller for a waterproofing manufacturer-ORIGINALDOCUMENT.Completed Application(s) Signed & NotarizedFee(s)* INCOMPLETE APPLICATIONS WILL BE RETURNED*
(CANNOT INSTALL FENCES) 2 years'experience Painting BLDG 0078 1 year experience Pneumatic Concrete & Pressure Grouting* BLDG 0038 3 years' experience Pre-stressed Pre-cast Concrete Erection* BLDG 0039 3 years' experience *EXAM CATEGORIES - JOURNEYMAN AND MAINTENANCE CATEGORIES TAKE ONLY ONE PART EXAM (TECHNICAL). ALL OTHER CATEGORIES .
