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: 
Existing three-story commercial office building. Two main floors and an occupied attic.


Construction Cost:



6. Project Construction Cost (Provide cost for new construction, the addition, or the alteration):
Summary:
The total construction cost of the renovation is $208,633.00 as per the attached letter from the general contractor. He has attributed $58,305 of this amount to renovating the restrooms to be ADA compliant and $93,612 to correct accessibility deficiencies along the accessible path.


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


Cost of Construction:

Comments:
 The previous owner of the building installed all new windows. It is unknown cost of the installation.

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 project has been designed, priced and submitted for a building permit. A permit comment required an elevator be installed or obtain a waiver from the Florida Building Commission.


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


201.1.1 Vertical Accessibility Section 553.501- 553.513. F.S. and the ADA Standards for Accessible Design do not relieve the owner of any building structure or facility governed by those sections from the duty to provide vertical accessibility to all levels above and below. The occupiable grade level regardless of whether the standards require an elevator to be installed in such buildings, structures, or facility.


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


Based upon disproportionate cost we respectfully request a waiver to provide vertical accessibility to the second and third floors. Denying this waiver would significantly impact the project and preclude any of the other ADA or code corrective work from being done.

See Grounds for Waiver under additional documents.


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:
As the Architect of record for this project, I designed solutions to address the ADA accessibility deficiencies along the accessible path, rework the existing toilet rooms and drinking fountains on the first and second floor to be ADA compliant and reconfigured the existing stair and handrails of the main stair to be ADA compliant. This ADA corrective work comprises the majority of the proposed scope of work for this project.

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.