Project Name:
Application Form
REQUEST FOR Deviation from the ENGINEERING DESIGN STANDARDS (APPROVED BY ORDINANCE 103-2001)
Where due to physical constraints, hardships, or special conditions of the site which prohibit meeting specific requirements within the City Engineering Design Standards (EDS), the applicant may seek a deviation from those provisions. In accordance with the EDS sheet 1, “Foreword” paragraph 5:
“The Directors or designees of the Public Works Department and the Department of Community Development (DCD) may approve deviations to the Standards as applicable, provided the deviations are acceptable engineering practice and meet or exceed all Standards.”
Please note that all requests:
· Shall provide ample justification in writing and supporting documentation that the proposed alternative is designed in accordance with acceptable engineering practice and meets or exceeds current standards.
· Must be signed and sealed by a Florida Licensed Professional Engineer.
Provide two (2) copies of this application with all plans and supporting writing material to justify the proposed deviation, including but not limited to site plan, landscape plan/buffer plan, elevation drawings or detail sheets.
One of the submitted documents must have original signatures.
Request for Engineering Design Standard (EDS) Deviation
Applicant’s Name: / Applicant’s phone number:
Engineer’s Name: / Engineer’s phone number:
Standard Referred in EDS Sheet Number(s):______
Type of Deviation:
___ / Driveway Location / ___ / Sidewalk / ___ / Visibility Triangle / ___ / Curb / Gutter
___ / Throat Distance / ___ / Easement / ___ / Road Widening / ___ / Alley
___ / Driveway Type / ___ / Other Specify:
__ / Check here if Seeking Council Action (For example if request(s) will be part of a PDP)
DO NOT WRITE BELOW. STAFF USE ONLY
Reviewer’s recommendation:
Approve Reject
______
Reviewer’s Name / Reviewer’s Signature / Date
Director’s recommendation if seeking further Council action:
Recommendation for Approval Recommendation for Rejection
Director’s FINAL decision if NOT seeking further Council action:
Approved Rejected
Steven M. Neff, P.E. P.W. Director / Date
Comments: / ______
______
______
______
______
Attached Original Letter Signed & Sealed from Professional Engineer (P.E.)
March 2013 PW Page 1 of 2