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 (Form 375-000-02) for District 2, located in Lake City, Florida. The form is designed to facilitate the ordering of exempt documents, specifically building plans, blueprints, schematic drawings, and diagrams related to structures owned or operated by the agency. The form allows licensed architects, engineers, contractors, and other authorized entities to request sets of plans, specifications, and bidding documents for transportation-related projects, with options for standard (1-5 business days) or expedited (next-day) delivery via UPS Ground, USPS, FedEx, or UPS.

The form includes detailed legal language outlining the exemption status of these documents under Section 119.071(3)(b) of Florida Statutes, which protects the internal layout and structural details of agency-owned buildings and facilities. Recipients must maintain the exempt status of the information and can only disclose it to other governmental entities, licensed professionals performing work related to the structure, or upon court order. The form requires a signature acknowledging understanding of the exempt nature of the records and agreement to maintain their confidential status. Payment can be made via major credit cards, though the specific form shows "N/A" for credit card details.

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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 .