Untitled Document

1. Name and address of project for which the waiver is requested:

Name:

Street:

City:

Zip Code:

State:

Jurisdiction:

Local Building Department Contact Information

Contact Name:

Street:

City:

Zip Code:

State:

Email:

Phone:

Applicant Information:

2. Name of Applicant. If other than the owner, please indicate relationship of applicant to owner in space provided:

Please correct the following issues:

First Name:

Last Name:

Street:

City:

State:

Zip code:

Phone:

Fax:

Email:

Relationship to owner:

Owner Information:

3. Please enter the owner information below. If the owner and the applicant are not the same person, please upload a written authorization by owner in space provided:

Please correct the following issues:

Please check if applicant is also the owner.

Owner First Name:

Owner Last Name:

Street:

City:

State:

Zip code:

Phone:

Fax:

Email:

Written Authorization:

Project and Facility Type:

Please correct the following issues:

4. Please check one of the following:

New construction.

Addition to a building or facility

Alteration to an existing building or facility

Historical preservation (addition)

Historical preservation (alteration)

5. Type of facility. Please describe the building (square footage, number of floors). Define the use of the building (i.e., restaurant, office, retail, recreation, hotel/motel, etc.)

Restaurant

Office

Retail

Recreation

Hotel/Motel

Other

# of Floors:

Square Feet:

Description:
2-Story Building - 2800 SF Total (Includes Balcony).
1st Floor occupied by Restaurant (1350 SF).
2nd Floor to be Owner Occupied for Building Owner's Private Office (1320 SF).

Need Additional Space

Construction Cost:

Please correct the following issues:

6. Project Construction Cost (Provide cost for new construction, the addition, or the alteration):

Summary:
Improvements being made to 2nd story private office with approximate costs at $50,000.00

Need Additional Space

Construction Cost upload:

7. Has there been any construction activity on this building during the past three years?

Yes

Cost of Construction:

Comments:

New Roof

Building Official Recommendation upload:

Construction Status:

Please correct the following issues:

8. Project Status: Please check the phase of construction that best describes your project at the time of this application. Describe status.

Under Design

Under Construction

In Plan Review

Completed

*Briefly explain why the request has now been referred to the Commission.

Our permit project application came back with notes stating:
This is a change of occupancy comply with chapter 10 Florida Building Code Existing
Provide 1 accessible restroom
Provide vertical accessibility

We are requesting a waiver given we are a private office, not serving the public. We feel a vertical lift is not required for our purpose, along with the small square footage space we will occupy.

Need Additional Space

Requirements to be Waived.

Please correct the following issues:

9. Requirements requested to be waived. Please reference the applicable section of Florida law. Only Florida-specific accessibility requirements may be waived.

Issue 1: Florida-specific hotel/motel rooms Minimum height in parking structures Accessible parking
Door opening pressure Vertical accessibility Toilet rooms
Private Other
Description:
We are a small private office (1320 SF), not serving the public. Entrance to our 2nd story office is located at the rear of the building only.

Need Additional Space

Issue 2: Florida-specific hotel/motel rooms Minimum height in parking structures Accessible parking
Door opening pressure Vertical accessibility Toilet rooms
Private Other

Description:
This cannot be completed without making unneeded & major structural changes.

Need Additional Space
Issue 3: Florida-specific hotel/motel rooms Minimum height in parking structures Accessible parking
Door opening pressure Vertical accessibility Toilet rooms
Private Other
Description:
We only checked other since the form would not let us submit unless all required fields were checked off.

Need Additional Space

Grounds for waiver.

Please correct the following issues:

10. Grounds for Waiver: The Florida Building Commission may grant waivers of Florida-specific accessibility requirements upon a determination of unnecessary, unreasonable or extreme hardship. Please describe how this project meets the following hardship criteria. Explain all that would apply for consideration of granting the waiver.

NOTE:** Please select atleast one checkbox below.

The hardship is caused by a condition or set of conditions affecting the owner which does not affect owners in general.
Description
We fall into the unnecessary category.

Need Additional Space
Substantial financial costs will be incurred by the owner if the waiver is denied. The owner has made a diligent investigation into the costs of compliance with the code, but cannot find an efficient mode of compliance. Provide detailed cost estimates and, where appropriate, photographs. Cost estimates must include bids and quotes.
Description:

Need Additional Space

Cost Estimates For Compliance:

Historic Building on which compliance with the requirements for accessibility is not feasible while maintaining historically significant features.

Please provide documentation of the designation of the building as historically significant.

Licensed Design Professional Comments.

11. Licensed Design Professional: Where a licensed design professional has designed the project, his or her comments including his or her signature and professional seal MUST be uploaded.

Please correct the following issues:

These is no design professional is engaged on the project

Professional Comments

Comments:
See attached architect plans outlining our intentions. Please note: No structural work is being done. We are not removing or adding any walls.

Design Professional First Name: Design Professional Last Name: Street Address: City: State:

Zip: Email Address: Phone:

Additional Documentation.

12. Upload Additional Documentation: Please upload any documentation such as plans, photographs and anything that will assist the Council and the Commission to determine the appropriate resolution of your request.

Documents: