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:

The project is the construction of a new restaurant within an existing tenant space that will incorporate a dining area, a kitchen and associated toilet rooms. The first floor incorporates 2968 square feet and the mezzanine area will be 406 square feet.



Need Additional Space


Construction Cost:



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

Summary:

See attached file indicating the project budget



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


Cost of Construction:$264,420.98

Comments:

The cost shown is the TOTAL PROJECT COST without the associated cost breakouts


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 requirement to apply for a waiver has been directed by the building department as it relates to the mezzanine area.



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 for 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:**


See attached file for explanation



See Project Costs
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.