STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
375-000-02
STATE HIGHWAY ENGINEER
02/13
Page 1 of 2
FAX ORDER FORM
District
Contracts Administration Office: District 2 - Lake City
Phone: 386-758-3703
Fax Number: 386-758-3791
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:
Exp. Date:
Authorized by:
Vendor No.: VF
Fax No.:
Ship to: (If different)
Contact – Name
Company
Street Address
City
State
Ship to: (if different) Phone No.
Zip
Fax No.
FDOT ships by UPS Ground or USPS. Allow 1-5 business days for delivery.
To Request Next Day Delivery Check Either:
Letting Date
Proposal Number
Or
Financial Project Number
FedEx or
UPS Provide Acct. No.
Plan/Specs &
Bidding Document
(Prime Contractor)
No. Sets of
Plans/Specs
Only
No. Sets of
Plans Only
No. Sets of
Specs Only
375-000-02
STATE HIGHWAY ENGINEER
02/13
Page 2 of 2
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: