Form 15 Application for Occupancy Permit

  • FORM 15

    Regulation 186

    Building Act 1993

    Building Regulations 2018

    APPLICATION FOR OCCUPANCY PERMIT

  • TO: 

    Relevant Building Surveyor (Andrew Herbig)

    Building Surveyor (Limited)

    Registration No: BS-L 62668

  • FROM:

  • This application is made by the owner/agent of the property*
  • Format: 0000-000-000.

  • In accordance with section 42 of the Building Act 1993, I apply for an occupancy permit for the building situated at the following address:

  • Municipal district*
  • Nature of building work*

  • Building permit details

  • Building practitioners and architects who were engaged in the building work

  • Category/Class
  • Category/Class

  • Use applied for

  • BCA Class of building*

  • Certificates of compliance

    Copies of compliance certificates for plumbing work and electrical work are attached in accordance with regulation 186(2)(b).

    * Pursuant to Section 248 of the Building Act 1993, a person must not act on behalf of an owner of a building or land for the purpose of making any application, appeal or referral under this Act or the regulations unless the person is authorised in writing by the owner to do so. Penalty: 120 penalty units.

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  • Impact Building Approvals
    P.O Box 443,
    Wodonga VIC 3689
    ABN:65 447 239 743

    (p): 0410 297 573
    admin@impactba.com.au

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