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:
The building is a 2-story existing building.
We have leased the first floor for manny years for a Learning Center, and on the second floor is an office space.
We're applying for this Waiver since we're doing a change of use to the Learning Center for the second floor, as an extension of the first floor, and the Building reviewer asked for this Accessibility Waiver as we can not provide Vertical accessibility to the second floor.



Construction Cost:



6. Project Construction Cost (Provide cost for new construction, the addition, or the alteration):
Summary:
There is no cost as we're only doing a change of use.

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.
We submitted the application for a Change of Use, and the Building Department requested this Accessibility Waiver.


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're applying for this Waiver since we're doing a change of use to the Learning Center for the second floor, as an extension of the first floor, and the Building reviewer asked for this Accessibility Waiver as we can not provide Vertical accessibility to the second floor.


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 property is a 2 story building and we have leased the first floor for many years for a Learning Center, and now we have the opportunity to extend the use to the second floor, but the installation of an elevator would result in financial hardship. The cost of installing a new passenger elevator to the second floor would cost around $100,000 approx, so It's a disproportionate cost since there is no renovation for the Change of Use under the scope of Work.
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: 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.