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

Name:

Street:

City:

Zip Code:






Local Building Department Contact Information

















Applicant Information:


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

Last Name:

Street:

City:



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:




Owner First Name:

Owner Last Name:

Street:

City:



Zip code:

Phone:

Fax:

Email:



Written Authorization:


Project and Facility Type:



4. Please check one of the following:



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.)







Description:

Need Additional Space


Construction Cost:



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


Summary:
$2,500,000.00
Cost for rehabilitation of building. New Roof, structural work, plumbing, electrical, HVAC. Complete rehabilitation

 

Need Additional Space

Construction Cost upload:


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


Cost of Construction:

Comments:
Building Official Recommendation upload:


Construction Status:




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



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

Current ADA requirements - a ramp at the entry will change historic entry and pathway. We would like to request a full vertical accessibility waiver due to historic nature of building

Need Additional Space



Requirements to be Waived.




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
Vertical accessibility Toilet rooms
Private Other


We would like to request a full vertical accessibility waiver due to historic nature of building.

Need Additional Space
Issue 2: Florida-specific hotel/motel rooms Minimum height in parking structures Accessible parking
Vertical accessibility Toilet rooms
Private Other Need Additional Space
Issue 3: Florida-specific hotel/motel rooms Minimum height in parking structures Accessible parking
Vertical accessibility Toilet rooms
Private Other Need Additional Space


Grounds for waiver.


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:**


Need Additional Space

Need Additional Space
Cost Estimates For Compliance:
.








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.


Professional Comments
Uploading file...


Comments:
Attached Letter has comments regarding vertical accessibility for this project

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.