Application for Licensure Sponsorship to Lake County
Applicant Name: ____________________________________________
Address: ___________________________________________________
City, State, Zip_______________________________________________
Phone# Fax# ______________________
Email:______________________________________________________
Type of Exam:______________________Testing Facility: ____________
Requirements for sponsorship
1.
Notarized proof of experience affidavit and/or Education transcripts
2.
Completed Exam application
Prometric- www.prometric.com or
GITS www.gitsllc.org
3.
Sponsorship fee of $54.00. (The fee can be paid by cash, check or by Visa or
MasterCard.) Checks are made payable to: Lake County Board of County
Commissioners.
Experience and Education requirements
Proof of education in the form of a transcript or other proof acceptable to the building
official.
Proof of experience in the form of a notarized affidavit executed by a licensed
architect, licensed
engineer, licensed contractor or building official not related to the
applicant. The applicant either:
(Must have one of the following.)
Journeyman sponsorship requirements:
1. Has completed an apprenticeship program registered with a registration agency
defined in 29 C.F.R.s. 29.2 and demonstrates four (4) years verifiable practical
experience in the trade for which he or she is licensed; or
2. Has demonstrated six (6) years verifiable practical experience in the trade for
which he or she is licensed.
All other registered or local sponsorship requirements:
1.
Has received a baccalaureate degree from an accredited four-year college in an
appropriate field of engineering, architecture, or building construction and has one
1.
year of proven field experience in the category in which the person seeks to
qualify. For the purpose of this article, a minimum of two thousand (2,000) man-
hours shall be used in determining full-time equivalency; or
2.
Has at least four (4) years of active experience as a workman who has learned
his/her trade by serving an apprenticeship as a skilled workman who is able to
command the rate of mechanic in his particular trade, and has at least one (1) year
of active experience at the level of foreman who is in charge of a group of workmen
and is responsible to a superintendent or a contractor or equivalent; or
3.
Has a combination of not less than one (1) year of experience as a foreman and not
less than three (3) years of credits for accredited college-level courses; or has a
combination of not less than two (2) years' experience as a skilled workman, one (1)
year of experience as a foreman, and not less than one (1) year of credits for
accredited college-level courses. All junior college or community college-level courses
shall be considered accredited college-level courses. For credits for any accredited
college-level courses to satisfy this requirement, the applicant shall show that the
courses were in a construction related field.
Each person desiring to be a locally licensed contractor within Lake County shall apply to the
Building Official or designee for a local license on an official application form. In order for a
person to receive a local license, he or she shall be at least eighteen (18) years old, of good
moral character, and meet all other eligibility requirements.
I understand that if Lake County sponsors me for testing I am required to
register my
local license in Lake County prior to a Letter of Reciprocity being
issued to another County.
I do hereby attest that I have read and meet the above Lake County Building
Services
Division requirements.
Date Signature Printed Name
State of Florida County of Lake
The foregoing was acknowledged by me, a notary, this day of ,20___ by
, who is personally known to me or has provided as proof of
identification
Notary Signature
(stamp/seal)
Building Official or Designee Approval ________________________________________ Date_________________________
Economic Growth Department BF01 Licensure sponsorship
Building Services Division revised 2.3.2016
Affidavit of Work Experience
I, , do hereby state that , (applicant) has
year(s) of active experience as a workman and who has learned his/her trade by serving an
apprenticeship as a skilled workman who is able to command the rate of mechanic in his/her particular trade, and
has at least year(s) of active experience at the level of foreman who is in charge of a group of workmen
and is responsible to a superintendent or a contractor or equivalent.
Work experience description to include date ranges and related job duties.
Proof of experience shall be executed by a licensed architect, engineer, contractor or building official not
related to the applicant. All applications are subject for review by the Lake County Building Official.
Name:
(Signature) (Printed name)
License number: , type of license .
The foregoing was acknowledged by me a notary this day of _, 20 by
_, (affiant) who is personally known to me or has provided
as proof of identification.
Notary Signature
Seal-Stamp commissioned name of Notary Public.
Economic Growth Department/Building Services Division (Tel) 352-343-9653 BF01 Licensure sponsorship
315 West Main Street, Room 511 (Fax) 352-343-9771 revised 10.21.15
Post Office Box 7800 Email: mylicense@lakecountyfl.gov
Tavares, Florida 32778 Website: www.lakecountyfl.gov