Application for Journeyman - St. Lucie County
Application for Journeyman - St. Lucie County
Application for Journeyman - St. Lucie County
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ST. LUCIE COUNTY APPLICATION<br />
App. Fee: $35.00 Date: _______________ Certificate #: ____________________<br />
DO NOT WRITE ABOVE THIS LINE<br />
INSTRUCTIONS:<br />
PAYMENT IS REQUIRED AT THE TIME OF SUBMITTING AN APPLICATION TO COUNTY<br />
EXAMINING BOARD. APPLICATION FEES ARE NOT REFUNDABLE. ALL CHECKS WILL BE MADE<br />
PAYABLE TO: ST. LUCIE COUNTY. THE APPLICATION IS AN AGREEMENT AUTHORIZING THE<br />
EXAMINING BOARD TO OBTAIN ANY ADDITIONAL INFORMATION CONCERNING THE<br />
APPLICANT'S APPLICATION. THIS INFORMATION MAY CONCERN THE APPLICANT=S<br />
FINANCIAL, CREDIT, COLLECTIONS, TAX LIEN STATUS’ AND JUDGMENTS. A CONVICTION OF A<br />
FELONY IN THE LAST FIVE YEARS MAY RESULT IN A DENIAL OF YOUR LICENSE, PER ST. LUCIE<br />
COUNTY CODE OF ORDINANCES.<br />
(CHECK ONE)<br />
JOURNEYMAN TYPE<br />
(1) ELECTRICIAN<br />
(2) PLUMBING<br />
PLEASE PLACE<br />
PHOTOGRAPH OF<br />
APPLICANT HERE.<br />
PHOTO MUST BE FULL-<br />
FACED VIEW<br />
APPROXIMATELY 2”x 2”.<br />
A CLEAR &<br />
RECOGNIZABLE<br />
LIKENESS.<br />
APPLICANT’S SOCIAL SECURITY #: ___________________________<br />
APPLICANT’S NAME:<br />
___________________________________________________________________<br />
(FIRST) (MIDDLE) (LAST)<br />
HOME ADDRESS: ____________________________________ HOME PHONE: _____________________<br />
CITY: ___________________________ COUNTY: _______________ STATE: ________ ZIP___________<br />
E-MAIL ADDRESS: _______________________________________________________________________<br />
PLACE OF BIRTH: ___________________________ DATE OF BIRTH: ________________ SEX: ________<br />
CITIZEN OF UNITED STATES: YES ( ) NO ( )<br />
GRADE SCHOOL: __________YRS.<br />
HIGH SCHOOL: __________YRS. COLLEGE _________YRS.<br />
TRADE SCHOOL OR SPECIAL COURSE: ____________________________________________________<br />
FLORIDA DRIVER’S LICENSE NUMBER: _____________________________________________________<br />
<strong>Application</strong> <strong>for</strong> <strong>Journeyman</strong> Electrical or Plumber<br />
Revised: 12/9/13<br />
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