Building Work Section 97, 130, 139

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Form Details

BUILDING WORK

Use this form for:

Notice of Work
Application for a Certificate of Likely Compliance
Application for a Building Permit

Section 97
Section 130
Section 139

Permit Authority

Permit Authority / Building Surveyor(Required)

Permit Authority / Building Surveyor Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Type of Application

Application Type(Required)

Permit

CLC

Notice of Work

Certificate of Completition

NOTE: Standard of Work Certificate and applicable fees must be submitted prior to Certificate of Completion being issued, in accordance with section 153 or section 104 of the Building Act 2016

Building Surveyor Details

Building Surveyor(Required)

License Number(Required)

Category(Required)

Phone(Required)

Fax

Email(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Applicant / Owner Details

Applicant / Owner Name(Required)

Contact Person

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Applicant/Owner Email

Phone

Fax

Are you an Owner Builder(Required)

Yes

Owner Builder Permit

Owner Builder Names

Owner Builder Contact Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Owner Builder Phone

Owner Builder Fax

Owner Builder Email

Agent

Note: Agents to be authorised in writing by the owner

Agent Name

Agent Contact Person

Agent Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Agent Phone

Agent Fax

Agent Email

Building Services Provider Details

Architect

Architect – Designer

Architect – Designer Category

Architect – Designer Business Name

Architect – Designer License Number

Architect – Designer Email

Architect – Designer Phone

Architect – Designer Fax

Architect – Designer Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Building – Designer

Building – Designer

Building – Designer Category

Building – Designer Business Name

Building – Designer License Number

Building – Designer Phone

Building – Designer Fax

Building – Designer Email

Building – Designer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Building – Designer

Engineer – Designer

Engineer – Designer Category

Engineer – Designer Business Name

Engineer – Designer License Number

Engineer – Designer Phone

Engineer – Designer Fax

Engineer – Designer Email

Engineer – Designer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Building – Designer

Services – Designer

Services – Designer Category

Services – Designer Business Name

Services – Designer License Number

Services – Designer Phone

Services – Designer Fax

Services – Designer Email

Services – Designer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Building – Designer

Builder

Builder Category

Builder Business Name

Builder Business License Number

Builder Phone

Builder Fax

Builder Email

Builder Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Building Work Section 97, 130, 139