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:
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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:
The building was used prior as a Boarding House and will be turned into a Residential Care Facility. The purpose it will serve involves residential and detoxification treatment for individuals with alcohol and drug abuse problems, as well as teaching life skills for persons to use outside and in every day life.



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Construction Cost:



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

Summary:
Please see attachment.

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


Cost of Construction:

Comments:
Building Official Recommendation upload:
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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.

There will be a significant financial burden on the owner which is not faced by other clients with similar situations with the potential for an addition of an elevator. The addition of the elevator would cause a reduction in the number of persons that can be served by reducing the number of rooms, which will also reduce potential income for the owner. Accommodations have been made to incorporate all kinds of disabilities that can be serviced on the first floor, as well as all other common services. There will be handicap access as well as bathrooms on the first floor.

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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
Vertical accessibility of a structure, as required by section 553.509, Florida Statutes. The request of waiver is regarding vertical accessibility to the second floor of a Residential Care Facility.


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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:**


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ADA Standards 206.4 - In residential facilities, an accessible route shall not be required to connect stories where residential dwelling units with mobility features required to comply with 809.2 through 809.4, all common use areas serving residential dwelling units with mobility features required to comply with 809.2 through 809.4, and public use areas serving residential dwelling units are on accessible route.

209.5 - With multi-story transient lodging guest rooms with mobility features required to comply with 806.2, an accessible route shall not be required to connect stories provided that spaces are complying with 806.2 are on an accessible route and sleeping accommodations for two persons minimum are provided on a story served by an accessible route.



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Cost Estimates For Compliance:






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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


Comments:
See attached letter.

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.