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APPLICATION FOR MECHANIC/APPRENTICE PERMIT

1 Department of Regulatory and Economic Resources Business Affairs Consumer Protection 601 NW 1st Court, 18th Floor Miami, Florida 33136 Tel: 786-469-2300 Fax: 786-469-2311 email: 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 _____

2 Complete the following checklist including those items attached or enclosed with this application: - UNDERLINED items apply only to persons applying for a Certified permit -

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