Mechanic Form PDF Details

Do you get frustrated when your car won't start or break down on the side of the road? Having a reliable auto mechanic is essential for keeping your car in good condition. With our new mechanic form, you can have peace of mind knowing that you will quickly receive help when having issues with your vehicle. We've designed this form to save time, provide detailed information and ensure that any problems are identified and addressed promptly. Keep reading to find out more about how our mechanic form can help keep stress levels low and safety levels high!

QuestionAnswer
Form NameMechanic Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesrepair mechanic permit mechanic permit dade

Form Preview Example

 

 

 

 

BUSINESS AFFAIRS & CONSUMER PROTECTION

 

 

 

 

140 WEST FLAGLER STREET, SUITE 902

 

 

 

 

MIAMI, FLORIDA 33130-1561

 

 

 

 

 

Tel: 305-375-4222

Fax: 305-375-3512

email:consumer@miamidade.gov

APPLICATION FOR MECHANIC/APPRENTICE PERMIT

Application Type: Check one of the following:

 

 

 

 

Initial

Renewal

 

2yr Renewal

 

LICENSE OR PERMIT APPLIED FOR: Check one of the following:

 

 

 

Certified Mechanic or Paint & Body Technician

Exempt Mechanic

Apprentice Permit

 

 

 

Check one of the following:

 

 

 

Paint & Body Apprentice

_______

 

 

 

Mechanic Apprentice

_______

 

 

 

 

 

APPLICANT INFORMATION (please print clearly):

1.Full Legal Name: ___________________________________________________________________________________

2. Address : ________________________________________________________

Apt/Suite Number:____________________

3.Mailing Address(if applicable):______________________________________________________________________________

4. Phone Number: __________________________________ Cell Number __________________________________

5.Email Address: ___________________________________________ County Permit Number:________________

6. Date of Birth:______________________________ Drivers License Number:___________________________________

EMPLOYEMENT INFORMATION:PLEASE CHECK BOX IF UNEMPLOYED

Business Name : __________________________________________________________________________

Address: __________________________________

Zip Code: _____________________________

MVR Number: ___________________________

Business Phone: ____________________________

Please answer yes or no to the following question:

Yes No

Do you owe any money to Miami-Dade County, either individually or through any other business?

 

(unpaid liens, administrative costs, etc.) If yes, please provide details on a separate sheet.

1

I, _______________________________, the undersigned, under penalties of perjury, declare that I have read the foregoing

application and verify that the facts stated in it are true and complete. I will abide by the provisions of the Code of Miami-Dade County and all other applicable laws. I understand that civil penalties may be imposed for violations of the Miami-Dade County Code I acknowledge that omissions or false statements will be grounds for suspension, revocation or non-issuance of a license or permit.. I further acknowledge that all license and permit fees are non-refundable and that incomplete applications shall be immediately denied.

______________________________________

_______________________

APPLICANT SIGNATURE

DATE

Complete the following checklist including those items attached or enclosed with this application:

- UNDERLINED items do not apply to persons applying for an Apprentice permit -

Completed Application

License Fees

Proof of 16 Hours Continuing Education (1 year) Copy of Applicant’s Drivers License

ASE or AATI Certification

Exempt Sworn Statement

Proof of 32 Hours Continuing Education (2years)

***SEE BELOW FOR IMPORTANT INFORMATION***

LICENSE OR PERMIT APPLIED FOR: CERTIFIED MECHANIC/TECHNICIAN - An applicant wishing to obtain a Certified Master Mechanic, Specialty Mechanic or a Paint/Body Technician license, must provide originals of each current ASE and/or AATI certification he or she holds. No copies or faxes. In addition to the foregoing, an applicant wishing to renew his or her certification must submit proof of 16 hours continuing education for each year he or she has applied for. A license shall only be issued for those repair categories an applicant has qualified for (See item no. 6 for the applicable license fees). Pursuant to section 8A-161.24 of the Miami-Dade Code, certified specialty mechanics & paint technicians shall not supervise repair work performed by more than two apprentices. A master mechanic may only supervise up to three apprentices.

APPLICANT INFORMATION: All applications must be entirely filled out by the person applying for the license. Incomplete applications, such as those without full payment, signature or required documents will be immediately denied. A copy of the applicant’s picture identification will be required if someone else is submitting the application and paperwork for the applicant.

EMPLOYMENT INFORMATION: Provide the contact information of your employer(s). If you are unemployed, check the appropriate box. It is illegal to operate as an independent mobile mechanic/technician without a motor vehicle repair shop license. As a certified mechanic/technician you may only qualify one shop.

2