Licensing Regulation & Enforcement
2725 Judge Fran Jamieson Way, Bldg. A-114
Viera, Florida 32940
Phone: (321) 633-2058, press 4, 6
contractorlicensing@BrevardFL.gov
MASTER/JOURNEYMAN EXAMINATION APPLICATION AND FEES
APPLICATION FEES ARE NON-REFUNDABLE
Trade Category Application Fees:
JOURNEYMAN $65 MASTER $110
AIR CONDITIONING ELECTRICIAN
ELECTRICIAN PLUMBER
PLUMBER
ROOFER
SHEETMETAL
The following documents must be submitted with application:
Application fee as indicated above
o Make checks payable to Brevard County BOCC
Copy of driver’s license
Notarized documentation of experience on attached Experience Form
Signed Social Security Number Disclaimer
DO NOT WRITE IN THIS SPACE
DATE CAP ID PYMT TYPE INVOICE # STAFF
Master/Journeyman Examination Application
Date ___________________ Trade Category ___________________________________________
Select one: Master Journeyman Application Fee $______________________
1. Name (last, first, MI) _____________________________________________________________
2. Address _______________________________________________________________________
3. Date of Birth ________________________ Email ______________________________________
4. Phone # ___________________ Daytime Phone # __________________ Fax # _____________
5. U S Citizen? Yes No
6. Height: _________ Weight __________ Eye Color:____________ Hair Color:____________
EMPLOYMENT / EDUCATION INFORMATION TO BE COMPLETED BY THE APPLICANT
Present Employer ___________________________________ Phone # _______________________
Address _________________________________________________________________________
Position Held ___________________________________ Length of employment ________________
Name and Address of Previous Employer
________________________________________________________________________________
________________________________________________________________________________
Dates of Employment ______________________________ Position _________________________
Name and Address of Previous Employer
________________________________________________________________________________
________________________________________________________________________________
Dates of Employment ______________________________ Position _________________________
Name and Address of Previous Employer
________________________________________________________________________________
________________________________________________________________________________
Dates of Employment ______________________________ Position _________________________
Total years as Helper ___________ Total years as licensed Journeyman ___________
Master/Journeyman Application for Exam
SCHOOLINGProvide copies of certificates/diplomas/transcripts
High School __________________________________________ # Years Attended _____________
College ______________________________________________ # Years Attended _____________
Apprenticeship School __________________________________ # Years Attended _____________
I certify that this information is true and correct to the best of my knowledge and that any willful
falsification of any information contained herein is grounds for disqualification.
Signature of Applicant __________________________________ Date _____________________
STATE OF _____________________
COUNTY OF _____________________
The foregoing instrument was acknowledged before me this ______ day of ________________,
20______, by _____________________________________ who is personally known to me _____
or who produced a ________________________________________ as identification.
(Notary Seal)
_________________________________
Signature of Notary
Experience Requirements
ALL JOURNEYMAN APPLICANTS shall provide evidence of four years’ experience in the trade;
however, the Contractors’ Licensing Board may reduce said requirement to two years for individuals
who show proof of formal education in the applicable trade. An individual who has completed four
years (2000 hours OJT per year) of apprenticeship training in the trade and furnishes a certificate as
proof of training are considered to have the required experience.
ALL MASTER APPLICANTS shall provide evidence of five years of practical experience in the trade,
of which a minimum of three years can be as a journeyman. The Contractors’ Licensing Board may
consider a person’s formal vocational education as practical experience in the trade.
MASTERS ARE NOT CONTRACTORS, CANNOT PULL PERMITS OR OPERATE A BUSINESS
EXPERIENCE MUST BE DOCUMENTED IN WRITING BY YOUR EMPLOYER(S) (PAST OR
PRESENT) FOR PROOF OF EXPERIENCE, see attached. More than one experience form may
be used or original letters on business letterhead or original notarized letters. The letters
must be specific to the type of work that was done and must document the dates of
employment. All documents must be originals.
If Experience Documentation is not completed by a certified contractor, the documentation
may be completed by authorized personnel who has or had job related direct contact with
applicant, i.e., job superintendent or supervisor.
SOCIAL SECURITY NUMBER DISCLAIMER
** "Under the Federal Privacy Act, disclosure of Social Security numbers is voluntary unless
specifically required by Federal statute. In this instance, Social Security numbers are mandatory
pursuant to Title 42 United States Code, Sections 653 and 654; and Sections 455.203(9); 409,2577,
and 409.2598, Florida Statutes. Social Security numbers are used to allow efficient screening of
applicants and licensees by a Title IV-D child support agency to assure compliance with child support
obligations. Social Security numbers must also be recorded on all professional and occupations
license applications and will be used for licensee identification pursuant to the Personal Responsibility
and Work Opportunity Reconciliation Act of 1996 (Welform Reform Act), 104 Pub.L. 193, Sec.317."
You must print your name, Social Security Number, date and sign that you have read the disclaimer
above:
________________________ ________________________
(Print Name) (Social Security Number)
__________________________________ Date ___________________
(Sign)
Please cut along dotted line and keep bottom portion of the disclaimer for your records
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
** "Under the Federal Privacy Act, disclosure of Social Security numbers is voluntary unless
specifically required by Federal statute. In this instance, Social Security numbers are mandatory
pursuant to Title 42 United States Code, Sections 653 and 654; and Sections 455.203(9); 409,2577,
and 409.2598, Florida Statutes. Social Security numbers are used to allow efficient screening of
applicants and licensees by a Title IV-D child support agency to assure compliance with child support
obligations. Social Security numbers must also be recorded on all professional and occupations
license applications and will be used for licensee identification pursuant to the Personal Responsibility
and Work Opportunity Reconciliation Act of 1996 (Welform Reform Act), 104 Pub.L. 193, Sec.317."