d2-fax-order-form.pdf
PDF 65 KB Posted
- Attached to
- FCO Gainesville Operations Shop Canopy
- Solicitation number
- ITB-12709
- Issued by
- Clay County, Florida
About this file
The document is a Florida Department of Transportation (FDOT) Fax Order Form for District 2, located in Lake City, used for requesting exempt documents related to building plans, blueprints, schematic drawings, and diagrams. The form is designed for licensed architects, engineers, or contractors to obtain sensitive structural documentation, with provisions for shipping via UPS Ground or USPS, allowing 1-5 business days for delivery. The form includes options for standard or next-day delivery through FedEx or UPS, and requires the recipient to acknowledge and maintain the exempt status of the received information according to Florida Statutes Section 119.071(3)(b).
The form provides a mechanism for requesting technical documents while maintaining strict confidentiality, with specific legal protections preventing unauthorized disclosure. The documents can only be shared with governmental entities when necessary to perform duties, licensed professionals directly involved in related work, or upon court order. Payment methods include major credit cards, though the specific form shows "N/A" for credit card details. The form must be signed by the receiving party, who agrees to preserve the exempt status of the records in accordance with Florida law, emphasizing the sensitive nature of the structural information being shared.
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Other files
| File | Type | Posted |
|---|---|---|
| F2037 Addenda 001.pdf | ||
| F2037 Invitation to Bid.pdf | ||
| d2-fax-order-form.pdf | ||
| F2037 Invitation to Bid.pdf |
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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 .