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:






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: 
ROCKMOOR CENTRAL TR PB 4-197
LOT 3
LOT SIZE 62.430 X 108
OR 16513-0214 0894 1


Construction Cost:



6. Project Construction Cost (Provide cost for new construction, the addition, or the alteration):
Summary:
The cost of renovation without the elevator is totaling to $397013.99



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.
The cost of installing an elevator is too high, and from a financial standpoint, the return on investment would likely take several years to realize.


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
Due to cost.


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



The required improvements represent a disproportionate cost relative to the scope of the project and place a significant financial hardship, justifying the need for a waiver. A detailed cost estimate has been compiled, which includes bids and quotes for all relevant components of compliance. The breakdown is as follows:

Hydraulic Elevator Equipment: $83,755.00 Cibes Symmetry Lift: $48,925.00
Architectural & Engineering Design Fees: $5000.00
Shell Construction Modifications: $100000.00
Sump Pump Installation: $6350.00
Electrical and Mechanical Scope: $25000.00
Permit Fees: $17257.88
General Contractor Overhead and Profit (OHP, 18%): $42725.32 $36,455.92
Total Estimated Cost of Compliance: $280088.20 $238,988.80




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.



Comments:
Incorporating a vertical accessible route (elevator) was considered; however, based on the current construction cost and the estimated additional cost of approximately for elevator design alone (not including installation), the financial burden of this requirement would create a hardship for the owner.



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, or anything that will assist the Council and the Commission to determine the appropriate resolution of your request.