CONSTRUCTION TRADES QUALIFYING BOARD
MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY
AND ECONOMIC RESOURCES
CONTRACTOR LICENSING SECTION
11805 SW 26 STREET SUITE 207, MIAMI, FLORIDA 33175
LICENSE RENEWAL WAIVER ELIGIBILITY AFFIDAVIT
MILITARY PERSONNEL
STATE OF FLORIDA
SS:
COUNTY OF MIAMI-DADE
I _____________________________________, swear/affirm that I hold a Miami-Dade County Certificate of
Competency/Eligibility under the provisions listed in Chapter 10-13(3)(C) which states:
Any member of the Armed Forces of the United States on active duty who requests voluntary inactive status
and provided documentation to the Board and , at the time of becoming such a member, was entitled to
practice or engage in his or her trade in Miami-Dade County and whose license was in good standing with the
Board and is no longer acting as a contractor for profit, shall be kept in good standing by the Board without
renewing or paying the regular renewal fee and shall not be required to complete the continuing education
requirements as long as he or she is a member of the Armed Forces of the United States on active duty and for
a period of six (6) months after discharge from active duty.
Furthermore, I have read the forgoing and acknowledg
ed and eligibility under these conditions. I understand
that to misrepresent any fact in an application or supporting papers submitted to obtain or to renew a certificate
required by this Chapter is a violation of the Code of Miami-Dade County Chapter 10 Section 10-22 (f).
__________________________________________________ Date___________________________
Signature
__________________________________________________
Print Name
State of Florida, County of Miami-Dade:
Sworn to and Subscribed before me this _______ day of ______, 20_____
Personally Known ___________ __________________________________ Notary Public
Produce Identification _________________________________ Type: ________________________________
(SEAL)
