d2-fax-order-form (1).pdf
PDF 65 KB Posted
- Attached to
- Jax Bridge Crew Storage Building
- Solicitation number
- ITB-10793
- Issued by
- Duval County, Florida
About this file
This document is a Fax Order Form from the State of Florida Department of Transportation (FDOT) related to a state highway construction contract opportunity. The form provides details on how to request plan sets, specifications, and bidding documents for the contract. The project details, such as the letting date, proposal number, and financial project number, can be provided on the form. Requestors can order full plan/spec/bid document sets or individual plan or specification sets, with delivery within 1-5 business days via UPS Ground or USPS. Next-day delivery is available through FedEx or UPS with an account number provided. The form indicates that the building plans, blueprints, and drawings are exempt from public disclosure under Florida Statutes.
The form includes information for submitting the order, such as the requester's contact information and credit card details. The District Contracts Administration Office for District 2 - Lake City is listed as the point of contact, with the phone, fax, and email provided. Requestors must sign the form acknowledging the exempt nature of the records and agree to maintain their confidentiality.
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Text version
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
FAX ORDER FORM
375-000-02
STATE HIGHWAY ENGINEER
02/13
Exempt Documents - Section 119.071(3) (b) Florida Statutes, provides:
Building plans, blueprints, schematic drawings, and diagrams, including draft, preliminary, and final formats, which depict the internal layout and structural elements of a building, arena, stadium, water treatment facility, or other structure owned or operated by an agency are exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution. This exemption applies to building plans, blueprints, schematic drawings, and diagrams, including draft, preliminary, and final formats, which depict the internal layout and structural elements of a building, arena, stadium, water treatment facility, or other structure owned or operated by an agency before, on, or after the effective date of this act. Information made exempt by this paragraph may be disclosed to another governmental entity if disclosure is necessary for the receiving entity to perform its duties and responsibilities; to a licensed architect, engineer, or contractor who is performing work on or related to the building, arena, stadium, water treatment facility, or other structure owned or operated by an agency; or upon a showing of good cause before a court of competent jurisdiction. The entities or persons receiving such information shall maintain the exempt status of the information.
Check one: Licensed Architect Engineer Contractor
Other: (please state nature of business)
Company/Entity Name:
Address:
Phone Number:
We accept VISA, MasterCard, Discover, and American Express
Credit Card Number: N/A Exp. Date:
Authorized by: Vendor No.: VF
Fax No.:
Ship to: (If different) Company Contact – Name
Street Address City State Zip
Ship to: (if different) Phone No. Fax No.
FDOT ships by UPS Ground or USPS. Allow 1-5 business days for delivery.
To Request Next Day Delivery Check Either: FedEx or UPS Provide Acct. No.
Letting Date Proposal Number
Or Financial Project Number
Plan/Specs & Bidding Document (Prime Contractor)
No. Sets of Plans/Specs
Only
No. Sets of Plans Only
No. Sets of Specs Only
District Contracts Administration Office: District 2 - Lake City Phone: 386-758-3778 Fax Number: 386-758-3791 Email Address: d2fixedcapitaloutlay@dot.state.fl.us
PS233BW
Highlight
375-000-02
STATE HIGHWAY ENGINEER
02/13
Letting Date Proposal Number
Or Financial Project Number
Plan/Specs & Bidding Document (Prime Contractor)
No. Sets of Plans/Specs
Only
No. Sets of Plans Only
No. Sets of Specs Only
Signature required for receipt of the above records.
I, personally, and/or as representative of the above entity, fully understand the exempt nature of the public records I am receiving and agree to maintain the exempt status of this information in accordance with Florida law.
Name of person receiving records:
(Printed)
Signature: Date:
Email:
Authorized by: Signature:
Printed Name
Date:
File details come from the government source that posted it. Updated .