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:
Historic 2 story structure with an existing restaurant on 1st floor and applying to have professional offices on second floor (wellness center).
1st floor = 2,925 SF
2nd floor = 1,814 SF


Need Additional Space

 


Construction Cost:



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


Summary:
Although we are asking for waiver based on Hisitoric building, we also have provided the construction estimate for the second floor build-out of $55,000. This doesn't include a lift which would add another $20 - $25,000 for the lift and shaft.

 

Need Additional Space

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:

Costs for ground floor tenant

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.

A potential 2nd floor tenant wants to lease the 2nd floor. The local building department requires this waiver before 2nd floor improvements can receive a building permit.

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

This historic building has no space for a lift.

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:
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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
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Comments: Please see attached narrative

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.