caengineernamechangeapplication-doc-floridaboardof.docVIP

Florida Board of Professional Engineers 2639 North Monroe Street, Suite B-112 Tallahassee, Florida 32303 Application to Change the Engineer of Record For Certificate of Authorization INSTRUCTIONS FOR COMPLETING APPLICATION TO CHANGE ENGINEER OF RECORD A review of Chapter 471, Florida Statutes and Chapter 61G15, Florida Administrative Code is necessary to become familiar with the responsibilities applicable under the law when offering engineering services to the public. Each registered engineer in your firm should also be acquainted with Chapter 471, F.S. and 61G15, F.A.C. The name of a corporation or partnership, if otherwise authorized, may include the name or names of one or more deceased or retired members of the firm, or of a predecessor firm in a continuing line of succession. An engineering firm may not offer services to the public under a firm name which contains only the name of an individual not licensed as a professional engineer, registered architect, landscape architect, land surveyor or professional geologist, in any state Rule 61G15-19.001 3 , F.A.C. A fee of $125 must accompany the application document. Make check, money order, or cashier’s check payable to the Florida Board of Professional Engineers. Corporations, Limited Liability Companies, Professional Liability Companies, and other forms of business organizations must provide the document number as proof of existence and proper registration status with the Secretary of State, State of Florida. Questions pertaining to corporate registration should be directed to the Secretary of State, Division of Corporations, at 850 488-9000. If you have filed a NEW corporation with the Florida Secretary of State/Division of Corporations you must submit a NEW Certificate of Authorization application. If your business is a partnership, attach a copy of your Partnership Agreement. One or more of the principal officers of the business organization or one or more of the partners of the partnership and all