Form DBPR AR-ID3 "Reinstatement of Null and Void License or Registration" - Florida

What Is Form DBPR AR-ID3?

This is a legal form that was released by the Florida Department of Business & Professional Regulation - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2020;
  • The latest edition provided by the Florida Department of Business & Professional Regulation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DBPR AR-ID3 by clicking the link below or browse more documents and templates provided by the Florida Department of Business & Professional Regulation.

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Download Form DBPR AR-ID3 "Reinstatement of Null and Void License or Registration" - Florida

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State of Florida
Department of Business and Professional Regulation
Board of Architecture and Interior Design
Reinstatement of Null and Void License or Registration
Form # DBPR AR-ID 3
APPLICATION CHECKLIST — IMPORTANT – Submit all items on the checklist below with your
application to ensure faster processing.
TRANSACTION
APPLICATION REQUIREMENTS
Complete all sections of this application.
Reinstatement of Null and
Fees: $475.00 (make check payable to the Department of Business
Void Architect License or
and Professional Regulation).
Interior Designer
Submit proof of completing continuing education.
Registration
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
General Instructions
If you have any questions or need assistance in completing this form, please contact the Department of
Business and Professional Regulation, Customer Contact Center, at 850.487.1395.
To reinstate your null and void license or registration, you must provide proof of completing the following
continuing education hours:
Architect’s Continuing Education Requirements
You must provide proof of completing 24 hours of continuing education in the following categories:
Health, safety, and welfare related courses
22 hours
Advanced Florida Building Code courses
2 hours
Total
24 hours
Interior Designer’s Continuing Education Requirement
You must submit proof of completing 20 hours of continuing education in the following categories:
Health, safety, and welfare related courses
14 hours
Advanced Florida Building Code courses
2 hours
Optional courses or health, safety, and welfare courses
4 hours
Total
20 hours
Visit the board’s web page at
www.MyFloridaLicense.com
> Our Businesses & Professions > Find a CE
Course for a list of approved providers and courses.
Application Instructions
a. Section I
i.
Indicate which license or registration type you are applying for. Check only one of the
application types.
ii.
Provide your previous license or registration number.
b. Section II
i.
Fill out each section completely.
ii.
In the Full Legal Name section, applicants must use the name as it appears on his or her
Social Security card. Do not use nicknames or initials.
iii.
Applicants must furnish their current mailing address.
iv.
Applicant’s addresses are used only for Department purposes and will not be printed on
the license or registration.
DBPR AR-ID 3 Application for License/ Registration from Null and Void (Expired License/Registration)
Incorporated by Rule: 61-35.002
Eff. Date: July 2020
1 of 4
State of Florida
Department of Business and Professional Regulation
Board of Architecture and Interior Design
Reinstatement of Null and Void License or Registration
Form # DBPR AR-ID 3
APPLICATION CHECKLIST — IMPORTANT – Submit all items on the checklist below with your
application to ensure faster processing.
TRANSACTION
APPLICATION REQUIREMENTS
Complete all sections of this application.
Reinstatement of Null and
Fees: $475.00 (make check payable to the Department of Business
Void Architect License or
and Professional Regulation).
Interior Designer
Submit proof of completing continuing education.
Registration
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
General Instructions
If you have any questions or need assistance in completing this form, please contact the Department of
Business and Professional Regulation, Customer Contact Center, at 850.487.1395.
To reinstate your null and void license or registration, you must provide proof of completing the following
continuing education hours:
Architect’s Continuing Education Requirements
You must provide proof of completing 24 hours of continuing education in the following categories:
Health, safety, and welfare related courses
22 hours
Advanced Florida Building Code courses
2 hours
Total
24 hours
Interior Designer’s Continuing Education Requirement
You must submit proof of completing 20 hours of continuing education in the following categories:
Health, safety, and welfare related courses
14 hours
Advanced Florida Building Code courses
2 hours
Optional courses or health, safety, and welfare courses
4 hours
Total
20 hours
Visit the board’s web page at
www.MyFloridaLicense.com
> Our Businesses & Professions > Find a CE
Course for a list of approved providers and courses.
Application Instructions
a. Section I
i.
Indicate which license or registration type you are applying for. Check only one of the
application types.
ii.
Provide your previous license or registration number.
b. Section II
i.
Fill out each section completely.
ii.
In the Full Legal Name section, applicants must use the name as it appears on his or her
Social Security card. Do not use nicknames or initials.
iii.
Applicants must furnish their current mailing address.
iv.
Applicant’s addresses are used only for Department purposes and will not be printed on
the license or registration.
DBPR AR-ID 3 Application for License/ Registration from Null and Void (Expired License/Registration)
Incorporated by Rule: 61-35.002
Eff. Date: July 2020
2 of 4
c. Section III
Provide an explanation of illness or economic hardship that prevented renewal.
d. Section IV
i.
Please read, sign and date the affirmation by written declaration.
ii.
If the applicant fails to sign and date the affirmation statement, the Department will not
process the application.
DBPR AR-ID 3 Application for License/ Registration from Null and Void (Expired License/Registration)
Incorporated by Rule: 61-35.002
Eff. Date: July 2020
3 of 4
State of Florida
Department of Business and Professional Regulation
Board of Architecture and Interior Design
Reinstatement of Null and Void License or Registration
Form # DBPR AR-ID 3
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 – Application Type
CHECK ONLY ONE OF THE APPLICATION TYPES
Architecture [0201/1038]
Interior Design [0203/1038]
PREVIOUS LICENSE OR REGISTRATION INFORMATION
Previous License or Registration Number
Section II – Applicant Information
APPLICANT INFORMATION
Social Security Number*
FULL LEGAL NAME
Last/Surname
First
Middle
Suffix
Birth Date (MM/DD/YYYY)
Gender
/
/
 Male  Female
MAILING ADDRESS
Street Address or P.O. Box
City
State
Zip Code (+4 optional)
County (if Florida address)
Country
CONTACT INFORMATION
Primary Phone Number
Primary E-Mail Address
* The disclosure of your Social Security number is mandatory on all professional and occupational license applications, is solicited
by the authority granted by 42 U.S.C. §§ 653 and 654, and will be used by the Department of Business and Professional Regulation
pursuant to §§ 409.2577, 409.2598, 455.203(9), and 559.79(3), Florida Statutes, for the efficient screening of applicants and
licensees by a Title IV-D child support agency to assure compliance with child support obligations. It is also required by § 559.79(1),
Florida Statutes, for determining eligibility for licensure and mandated by the authority granted by 42 U.S.C. § 405(c)(2)(C)(i), to be
used by the Department of Business and Professional Regulation to identify licensees for tax administration purposes.
DBPR AR-ID 3 Application for License/ Registration from Null and Void (Expired License/Registration)
Incorporated by Rule: 61-35.002
Eff. Date: July 2020
4 of 4
Section III – Explanation of Illness or Economic Hardship
EXPLANATION
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 or removal of the registration from the state registry.
Signature
Date
Print Name
DBPR AR-ID 3 Application for License/ Registration from Null and Void (Expired License/Registration)
Incorporated by Rule: 61-35.002
Eff. Date: July 2020
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