Form DBPR ID3 "Application for Certificate of Authorization Interior Design Business" - Florida

What Is Form DBPR 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 December 12, 2012;
  • 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 fillable version of Form DBPR 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 ID3 "Application for Certificate of Authorization Interior Design Business" - Florida

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State of Florida
Department of Business and Professional Regulation
Board of Architecture and Interior Design
Application for Certificate of Authorization Interior Design Business
Form # DBPR ID 3
 
Requirements for Certificate of Authorization Interior Design Business
At least one of the principal officers, directors, owners or managing members (see definition below)
of the corporation or limited liability company, partner of a partnership, or person practicing under a
fictitious name must be a Florida licensed interior designer or architect.
o A principal officer as defined and registered with the Department of State, Division of
Corporations www.sunbiz.org; or
o Any other officer who has management responsibilities in the business entity, as documented by
the charter or by-laws.
All personnel of the business entity who act in its behalf in Florida as interior designers or architects
must be a Florida licensed interior designer or architect.
APPLICATION CHECKLIST – IMPORTANT – Submit all items on the checklist below with your
application to ensure faster processing.
APPLICATION REQUIREMENTS
Fees:
 Application Fee- $100 non-refundable application fee.
 Make checks payable to the Florida Department of Business and Professional Regulation.
Complete application form # DBPR ID 3 Application for Certificate of Authorization Interior Design
Business
Please mail your completed application, documentation and required fee(s) to:
Department of Business and Professional Regulation
2601 Blair Stone Road
Tallahassee, Florida 32399-0783
Important Information:
1. Per Section 481.219(3), Florida Statutes, a certificate of authorization shall be required for a
corporation, limited liability company, partnership, or person practicing under a fictitious name,
offering interior design services to the public jointly or separately.
2. Exceptions to the licensure requirement:
a. A certificate of authorization is not required for a person practicing under a fictitious name
when the individual practices in his or her own name and is a sole proprietor. Example: John
Smith Interior Design.
b. Branch offices do not require additional licensure as long as they practice in the same name
registered with the Florida Department of State, Division of Corporations and licensed by the
Department of Business and Professional Regulation (DBPR).
3. Florida Statutes strictly prohibit the offering or solicitation of interior design services prior to
licensure by the Department of Business and Professional Regulation (DBPR).
4. A certificate of authorization is also known as a business license. Obtaining the certificate of
authorization does not eliminate maintaining the individual qualifier’s Florida interior designer or
architect license.
5. Section 481.221(10), Florida Statutes, each corporation, limited liability company, partnership, or
fictitious name holding a certificate of authorization shall include its certificate number in any
newspaper, telephone directory, or other advertising medium. A person practicing in his or her own
name as a sole proprietor shall include their personal interior design or architect license number in
advertisements. Refer to Rule 61G1-11.013, Florida Administrative Code for additional advertising
requirements.
6. Rule 61G1-12.001, Florida Administrative Code, states in part that an architect, interior designer,
corporation, partnership, or business entity holding a certificate of authorization shall not advertise
goods or services in a manner which is fraudulent, false, deceptive, or misleading in form or content.
DBPR ID 3 Application for Certificate of Authorization ID Business
Eff. Date 12/12/2012
Incorporated by Rule: 61-35.002
1 of 8
State of Florida
Department of Business and Professional Regulation
Board of Architecture and Interior Design
Application for Certificate of Authorization Interior Design Business
Form # DBPR ID 3
 
Requirements for Certificate of Authorization Interior Design Business
At least one of the principal officers, directors, owners or managing members (see definition below)
of the corporation or limited liability company, partner of a partnership, or person practicing under a
fictitious name must be a Florida licensed interior designer or architect.
o A principal officer as defined and registered with the Department of State, Division of
Corporations www.sunbiz.org; or
o Any other officer who has management responsibilities in the business entity, as documented by
the charter or by-laws.
All personnel of the business entity who act in its behalf in Florida as interior designers or architects
must be a Florida licensed interior designer or architect.
APPLICATION CHECKLIST – IMPORTANT – Submit all items on the checklist below with your
application to ensure faster processing.
APPLICATION REQUIREMENTS
Fees:
 Application Fee- $100 non-refundable application fee.
 Make checks payable to the Florida Department of Business and Professional Regulation.
Complete application form # DBPR ID 3 Application for Certificate of Authorization Interior Design
Business
Please mail your completed application, documentation and required fee(s) to:
Department of Business and Professional Regulation
2601 Blair Stone Road
Tallahassee, Florida 32399-0783
Important Information:
1. Per Section 481.219(3), Florida Statutes, a certificate of authorization shall be required for a
corporation, limited liability company, partnership, or person practicing under a fictitious name,
offering interior design services to the public jointly or separately.
2. Exceptions to the licensure requirement:
a. A certificate of authorization is not required for a person practicing under a fictitious name
when the individual practices in his or her own name and is a sole proprietor. Example: John
Smith Interior Design.
b. Branch offices do not require additional licensure as long as they practice in the same name
registered with the Florida Department of State, Division of Corporations and licensed by the
Department of Business and Professional Regulation (DBPR).
3. Florida Statutes strictly prohibit the offering or solicitation of interior design services prior to
licensure by the Department of Business and Professional Regulation (DBPR).
4. A certificate of authorization is also known as a business license. Obtaining the certificate of
authorization does not eliminate maintaining the individual qualifier’s Florida interior designer or
architect license.
5. Section 481.221(10), Florida Statutes, each corporation, limited liability company, partnership, or
fictitious name holding a certificate of authorization shall include its certificate number in any
newspaper, telephone directory, or other advertising medium. A person practicing in his or her own
name as a sole proprietor shall include their personal interior design or architect license number in
advertisements. Refer to Rule 61G1-11.013, Florida Administrative Code for additional advertising
requirements.
6. Rule 61G1-12.001, Florida Administrative Code, states in part that an architect, interior designer,
corporation, partnership, or business entity holding a certificate of authorization shall not advertise
goods or services in a manner which is fraudulent, false, deceptive, or misleading in form or content.
DBPR ID 3 Application for Certificate of Authorization ID Business
Eff. Date 12/12/2012
Incorporated by Rule: 61-35.002
2 of 8
If the business entity name contains the word “interior designers” then the business entity must
employ more than one licensed interior designer or architect.
7. Section 481.229(5) (a), Florida Statutes, nothing contained in this part shall prevent a registered
architect or a partnership, limited liability company, or corporation holding a valid certificate of
authorization to provide architectural services from performing any interior design service or from
using the title “interior designer” or “registered interior designer”.
8. Rule 61G1-16.004, Florida Administrative Code, Title Block, provides information about signing
and sealing plans.
 
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
1) Section I- Application Type
Select the type of application transaction you wish to complete.
2) Section II- Company Information
a) Provide the name of the interior design business for which you are applying to receive a
certificate of authorization as it is registered with the Florida Department of State, Division of
Corporations at www.sunbiz.org.
b) The “Doing Business As” (D/B/A) name must be provided as it is registered with the Florida
Department of State, Division of Corporations, if the interior design business uses a fictitious
name to conduct business. A fictitious name is any name under which a person transacts
business in this state, other than his/her legal name. Example- A business named Smith Interior
Design, which is not incorporated, would be considered a fictitious name because “Smith” alone
is not an individual’s legal name.
c) Applicants must provide the Tax Identification Number for the business to be licensed.
(Federal Employer Identification number or Social Security number, as applicable.) See
www.irs.gov
for more information.
d) Select the type of business organization which applies to the interior design business for
which you are applying to receive a certificate of authorization.
e) Provide the mailing address of the interior design business. This may be a post office
address.
f)
Provide the street address where the interior design business will be conducting business. A
post office box address is not acceptable for the business location.
g) Contact information is often used to quickly resolve questions with applications by telephone
call or email. If contact information is not provided, questions regarding applications will be
mailed to the applicant’s mailing address and may take longer to resolve.
i.
Enter the name of the contact person for the business. This should be an officer, partner,
or managing member of the business able to answer questions regarding this application.
ii.
Provide a valid telephone number and email address so that the Department may contact
you regarding your application or license.
3) Section III- Qualifier and Responsible Supervisor Information
a) Provide the name, principal officer title/position as registered with the Department of State,
Division of Corporations www.sunbiz.org, and the Florida interior designer or architect’s
license number of the person who will qualify the interior design business.
b) Provide the qualifying interior designer or architect’s email address and telephone number.
c) Answer whether the qualifying interior designer or architect will also serve as the responsible
supervisor for the interior design business for which you are applying to receive the certificate
of authorization.
d) If the qualifying interior designer or architect will not be the responsible supervisor for the
interior design business, provide the name, title/position, Florida interior designer or
architect’s license number and contact information for the person who will serve as the
responsible supervisor of the interior design business. If another licensee, other than the
qualifier, serves as the responsible supervisor in control of the business, that individual is not
required to be a principal officer.
DBPR ID 3 Application for Certificate of Authorization ID Business
Eff. Date 12/12/2012
Incorporated by Rule: 61-35.002
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4) Section IV- Principal Officers, Partners, and Interior Designers or Architects
a) Provide the name, principal officer title/position, Florida interior designer or architect’s license
number, and contact information for each person who is a principal officer, partner, or a
licensed interior designer or architect employed by the interior design business in Florida.
5) Section V- Background Questions
a) Answer the background questions. If you answer “YES” to any question, attach an
explanation of the circumstances and resolutions to such action.
6) Section VI- Branch Office Information
a) Provide the street address where the interior design branch office will be conducting
business. A post office box address is not acceptable for the business location.
b) Provide the name, Florida interior designer or architect’s license number, and contact
information for the interior designer or architect who will serve as the responsible supervisor
of the branch office.
7) Section VII- Marketing Office Information
a) Provide the street address where the interior design marketing office will be conducting
business. A post office box address is not acceptable for the business location.
b) Provide a valid email address and phone number for each location.
8) Section VIII- Affirmation by Written Declaration
a) Qualifier must read, sign, and date the affirmation by written declaration.
b) If the applicant fails to sign the affirmation statement, the application will not be complete and
cannot be approved.
DBPR ID 3 Application for Certificate of Authorization ID Business
Eff. Date 12/12/2012
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
Application for Certificate of Authorization Interior Design Business
Form # DBPR 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
APPLICATION TRANSACTION TYPE
Corporation [0204/1030]
Limited Liability Company/Partnership [0204/1033]
Partnership [0204/1032]
Fictitious Name [0204/1031] *
* (sole proprietor only, not related to a corporation, limited liability company/partnership, or
partnership)
Section II – Company Information
COMPANY INFORMATION
Business Name:
Doing Business As (D/B/A):
Tax Identification Number:
Business Type:  Corporation
 Limited Liability Company  Sole Proprietor
Partnership
 Fictitious Name
Other (please specify):
MAILING ADDRESS
Street Address or P.O. Box
City
State
Zip Code
County (if Florida address)
Country
BUSINESS LOCATION ADDRESS
Street Address
City
State
Zip Code
County (if Florida address)
Country
CONTACT INFORMATION
Contact Name:
Primary Phone Number
Primary E-Mail Address
DBPR ID 3 Application for Certificate of Authorization ID Business
Eff. Date 12/12/2012
Incorporated by Rule: 61-35.002
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Section III – Qualifier and Responsible Supervisor Information
QUALIFYING INTERIOR DESIGNER OR ARCHITECT
NOTE: Each business entity is required to be qualified by a Florida licensed interior designer or architect.
The qualifier must have a current, active license in Florida and be a principal officer of the business entity
as defined registered with the Florida Department of State, Division of Corporations at www.sunbiz.org.
The interior designer or architect’s name and position must be clearly identified within the company
Articles of Incorporation as filed in Florida or other jurisdiction where foreign corporations are concerned.
Last/Surname
First
Middle
Suffix
Principal Officer Title/Position
License Number
Email Address
Phone Number
RESPONSIBLE SUPERVISOR
NOTE: Each interior design office maintained for the preparation of drawings, specification, reports, and
other professional work shall have a registered interior designer or architect within that office with full
authority and in responsible charge, having direct knowledge and supervising control over such work.
See
Rule 61G1-23.010, Florida Administrative Code
for more information regarding the requirements and
responsibilities of a responsible supervisor.
The interior designer or architect providing responsible supervisory control for the projects of an office
location must be a full time employee within that office location. An interior designer or architect may
only provide responsible supervisory control over one location.
An interior designer or architect may qualify several business entities but may only be the interior
designer or architect providing responsible supervisory control over one business location unless all
businesses are at the same physical address/location.
Is the qualifying interior designer or architect also the responsible supervisor in control?
Yes
No
If “No,” please provide the information below:
Last/Surname
First
Middle
Suffix
Title/Position
License Number
Email Address
Phone Number
 
 
 
DBPR ID 3 Application for Certificate of Authorization ID Business
Eff. Date 12/12/2012
Incorporated by Rule: 61-35.002
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