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:



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 first floor is currently occupied by several businesses and second floor will be an architectural office. The intended use of this building will be for office space.



Construction Cost:



6. Project Construction Cost (Provide cost for new construction, the addition, or the alteration):
Summary:$40,000.00
Construction Cost upload:


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.
There is no access available to to first floor or between the first and second floors of the building. There is a separate building on site that was previously a garage that is being converted into office space that will be ADA accessible.


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

There is no existing vertical accessibility to first floor or between first and second floor to preserve the historical integrity of the building.


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:**


There is an existing façade easement on the street facing sides of the building (structure is on a corner lot) where no new construction is allowed except for specific instances such as signage. There is no space to feasibly construct an approximately 30'-0" ramp and its required landings on the non-street facing sides of the building. The existing garage has been converted into office space and is ADA accessible.



Need Additional Space
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: No comment

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.