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: 
See file in additional documentation area of submittal


Construction Cost:



6. Project Construction Cost (Provide cost for new construction, the addition, or the alteration):
Summary:
The alteration to an existing tenant space where there is 1328 sf on the first floor that will be modified for a dining area with the associated modifications to the kitchen and the construction of two fully accessible toilet rooms, an office space for the manager and a corridor for access to the toilet rooms as well as access to exterior patio for additional bar/dining area. On the mezzanine level, which will comprise of 575 sf, it will be modified to allow for one bar with minimal seating. All food service and pickup will occur on the first floor.

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


Cost of Construction: 

Comments:
See attached spreadsheet related to the project costs
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. 
553.512 Modifications and Waivers; Advisory Council. The Florida Building Commission shall provide by regulation criteria for granting individual modifications of, or exceptions from, the literal requirements of this part (sections 553.501-553.513, Florida Statutes) upon a determination of unnecessary, unreasonable, or extreme hardship, provided such waivers shall not violate federal accessibility laws and regulations and shall be reviewed by the Accessibility Advisory Council. Notwithstanding any other provision of this subsection, if an applicant for a waiver demonstrates economic hardship in accordance with 28 CFR 36.403(f)(1), a waiver shall be granted. This project would fall under the 20% requirements.


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
See attached file with explanation

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



See attached file with explanation
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:
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, or anything that will assist the Council and the Commission to determine the appropriate resolution of your request.