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State of Florida
Department of Business and Professional Regulation
Board of Architecture and Interior Design
Individual License Maintenance Form
Form # DBPR AR-ID 1
APPLICATION CHECKLIST - IMPORTANT - Submit all items on the checklist below with your
application to ensure faster processing.
TRANSACTION
Address Change
Address Change with Issuance of
Updated License
Request Duplicate License
Name Change with Issuance of an
Updated License
APPLICATION REQUIREMENTS

Complete Sections I, II and IV.
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Complete Sections I, II and IV.
Submit the $25 fee. Make check payable to the Florida
Department of Business and Professional Regulation.
Complete Sections I and IV.
Submit the $25 fee. Make check payable to the Florida
Department of Business and Professional Regulation.
Complete Sections I, III and IV.
Individuals must submit documentation supporting name
change. See Section III of Instructions.
Submit the $25 fee. Make check payable to the Florida
Department of Business and Professional Regulation.
Complete Sections I and IV.
Submit the $125 fee. Make check payable to the Florida
Department of Business and Professional Regulation. If the
license is delinquent, submit an additional $125 for a total of
$250.
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Renewal Request
Change of License Status
Set to Inactive
(deactivation outside renewal cycle)
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Complete Sections I and IV.
Submit the $50 fee. Make check payable to the Florida
Department of Business and Professional Regulation.
Please mail your completed application, documentation and required fee(s) to:
Department of Business and Professional Regulation
2601 Blair Stone Road
Tallahassee, FL 32399-0783
Instructions
If you have any questions or need assistance in completing this application, please contact the
Department of Business and Professional Regulation, Customer Contact Center, at 850.487.1395.
Application Instructions (by section)
a.
Section I - Transaction Type
i.
Check only the applicable transaction(s) you are seeking.
ii.
If you are requesting renewal, select the transaction and sign the affirmation statement in
Section IV.
iii.
If you are requesting a duplicate, select the transaction and sign the affirmation statement
in Section IV.
iv.
If you are requesting to place your license in an inactive status outside of the renewal
cycle, select the transaction, submit the required fee, and sign the affirmation statement
in Section IV.
b. Section II – Address Change
i.
This transaction allows an individual to change their current mailing and/or physical
address on file with the Department.
DBPR AR-ID 1- Individual License Maintenance Form
Eff. date: February 2016
Incorporated by Rule: 61-35.002
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ii.
If you want the Department to issue an updated license with the new address information,
you must select the transaction “Address Change with Issuance of Updated License” and
submit a fee of $25.00.
iii.
There is no fee for an address change without issuance of an updated license.
c. Section III – Name Change
i.
This transaction allows an individual to change their registered name with the Department
of Business and Professional Regulation.
ii.
For an Individual Name Change: A change of name requires submitting supporting legal
documentation of name change (e.g. marriage license, court documents showing name
change, divorce decree, etc).
iii.
A new license will be mailed out to the current mailing address of record. Allow 10-15
business days for the new license to arrive once the request has been completed.
iv.
The fee for this transaction is $25.00
d.
Section IV- Affirmation by Written Declaration
i.
The applicant must read, sign, and date the affirmation by written declaration.
ii.
If the applicant fails to sign the affirmation statement, the Department will not process the
application.
DBPR AR-ID 1- Individual License Maintenance Form
Eff. date: February 2016
Incorporated by Rule: 61-35.002
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State of Florida
Department of Business and Professional Regulation
Board of Architecture and Interior Design
Individual License Maintenance Form
Form # DBPR AR-ID 1
If you have any questions or need assistance in completing this application, please contact the
Department of Business and Professional Regulation, Customer Contact Center, at 850.487.1395.
For additional information see the Instructions at the beginning of this application.
Section I – Transaction Types
CHECK ONLY ONE OF THE APPLICATION TYPES
(Use multiple forms if more than one transaction is applicable)
 Address Change (Complete Section I, II and IV) [0201 or 0203/9006]
 Address Change with Issuance of Updated License - (Complete Sections I, II and IV) [0201 or 0203/8001]
 Request Duplicate License – (Complete Sections I and IV) [0201 or 0203/8001]
 Name Change with Issuance of Updated License – (Complete Section I, III and IV) [0201 or 0203/8001]
 Renewal Request – (Complete Sections I and IV) [0201 or 0203/2020]
 Change of License Status – Set to Inactive – (Complete Sections I and IV) [0201 or 0203/4020]
LICENSEE INFORMATION
Name
License Number
 Architecture (0201)
 Interior Design (0203)
Telephone Number
Email
Section II – Address Change
NEW MAILING ADDRESS
Street Address
City
State
County
Country
Zip Code
Section III –Name Change
NAME CHANGE INFORMATION
Individual Name (previous)
Individual Name (new)
DBPR AR-ID 1- Individual License Maintenance Form
Eff. date: February 2016
Incorporated by Rule: 61-35.002
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Section IV– Affirmation By Written Declaration
AFFIRMATION BY WRITTEN DECLARATION
I certify that I am empowered to execute this application as required by Section 559.79, Florida Statutes. I
understand that my signature on this written declaration has the same legal effect as an oath or
affirmation. Under penalties of perjury, I declare that I have read the foregoing application and the facts
stated in it are true. I understand that falsification of any material information on this application
may result in criminal penalty or administrative action, including a fine, suspension or revocation
of the license.
Signature
Date
Print Name
DBPR AR-ID 1- Individual License Maintenance Form
Eff. date: February 2016
Incorporated by Rule: 61-35.002