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 building is an existing two story office building.
The work being done is the construction/installation of a ramp

Need Additional Space


Construction Cost:



6. Project Construction Cost (Provide cost for new construction, the addition, or the alteration):
Summary
:Ramp to be 12’-4” long 42” wide, handrail to be installed with 12” loop handles at each end for a cost of $6,200.00
Seal Coat and re-stripe pavement area for a cost of
$3,500.00

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 applicant represents that the project in question is merely the construction of a ramp. Since no work is being performed in the building, nothing has triggered any requirement for the applicant to provide vertical accessibility to the second floor. However the client wants to have the waiver processed to the extent one is required.


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
The applicant represents that the project in question is merely the construction of a ramp. Since no work is being performed in the building, nothing has triggered any requirement for the applicant to provide vertical accessibility to the second floor. However the client wants to have the waiver processed to the extent one is required.

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 applicant represents that the project in question is merely the construction of a ramp. Since no work is being performed in the building, nothing has triggered any requirement for the applicant to provide vertical accessibility to the second floor. However the client wants to have the waiver processed to the extent one is required. The ramp work will cost $8700. The cost of installing a lift would be $52,500.
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.


Professional Comments


Comments:
There is a licensed design professional for the ramp work only. Since there is no work occurring in the building there is no need for any response comments related to the waiver request.

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.