Application for a Building Permit

Application for a Building Permit

Please ensure this form lists ALL owners exactly as listed on title.
FORM 1

Regulation 24
Building Act 1993
Building Regulations 2018

To: Ben Wilby (Relevant Building Surveyor) BS-L 58251
From*

OwnerAgent of Owner
ACN/ABN
Postal address of applicant*

Street Address

Street Address Line 2

CityState

Postcode
Address for serving or giving of documents*

Street Address

Street Address Line 2

CityState

Postcode
Contact Person*

First NameLast Name
Telephone*
Email*

Indicate if the applicant is a lessee or licensee of Crown land to which this application applies:

YesNo
Contact Person

First NameLast Name
Telephone
Email
Lessee Responsible for Building Work
Indicate if a lessee of the building, of which parts are leased by different persons, is responsible for the alterations to a part of the building leased by that lessee:

YesNo

Ownership Details

Only if agent of owner listed above – ensure ALL owners listed as per title.
Name - Owner 1*

First NameLast Name
ACN/ABN - Owner 1
Postal Address - Owner 1*

Street Address

Street Address Line 2

CityState

Postcode
Name - Owner 2 (if applicable)

First NameLast Name
ACN/ABN - Owner 2 (if applicable)
Postal Address - Owner 2 (if applicable)

Street Address

Street Address Line 2

CityState

Postcode
Contact Person*

First NameLast Name
Telephone*
Email*
example@example.com

Builder (if known)

Please ensure the name of the builder matches EXACTLY the name on any insurance document and contract if applicable.
Name*

First NameLast Name
ACN/ABN
Building practitioner registration no.*
Postal Address*

Street Address

Street Address Line 2

CityState

Postcode
Contact Person*

First NameLast Name
Telephone*
Email*
If the builder is carrying out domestic building work under a major domestic building contract, attach an extract of the major domestic building contract showing the names of the parties to the contract in relation to the proposed building work and a copy of the certificate of insurance (if applicable).

Natural Person for Service of Direction, Notices and Orders

(If builder is a body corporate)
Name

First NameLast Name
Telephone
Address

Street Address

Street Address Line 2

CityState

Postcode

Social Housing
Does any of the building work include the construction of social housing as referred to in regulation 281B?*

YesNo
Indicate 'Yes' if the building work, which is the subject of this application, includes the construction of social housing or if other building work, which is the subject of a related staged building permit, includes the construction of social housing.
Emergency Recovery
Does any of the building work include the construction of a dwelling that was destroyed or damaged in an emergency referred to in regulation 166J(b) of the Building Regulations 2018?*

YesNo
Indicate 'Yes' if the building work, which is the subject of this application, includes the construction or repair of a dwelling within the same municipal district as the destroyed or damaged residential dwelling.

Cost of Building Work
Is there a contract for the building work?*

YesNo
If yes, state the Contract price
If no, state the estimated cost of the building work
(including the cost of labour and materials)
Upload details of the method of estimation

Cancelof
Does the building work relate to more than one class of building, including a class of building referred to in section 205G(2A) of the Building Act 1993 and a class 1, 9 or 10 building? (only applicable to projects in Metropolitan Melbourne)*

YesNo
If yes, provide the cost of the building work that relates to the class or classes referred to in section 205G(2A) of the Building Act 1993 and the cost of the building work that relates to a class 1, 9 or 10 building.
Cost of building work relating to a class 2, 3 4, 5, 6, 7 or 8 building
Cost of building work relating to a class 1, 9 or 10 building

Stage of building work

(If application is to permit a stage of the work)
Extent of stage
Description of stage
Cost of work for this stage
Cost of work for the whole of the building work
Please confirm the following:*

I/we acknowledge that no other building surveyor has been appointed for these works.
Signature (Owner/Agent)*

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Date:*

DayMonthYear
Date
WILBY Building Consultants is committed to reducing paper waste. We will always communicate via email unless you request us to send hard copies of any documentation via post.

If you would like hard copies of any documents, including approved permit documentation, please contact us in writing at admin@wilbybc.com.au
Should be Empty:

Lessee Responsible for Building Work