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

Property Details

Please refer to your title.
Number*
Street/Road*
City/Suburb/Town*
Postcode*
Lot/s*
LP/PS
Volume
Folio
Crown Allotment
Section
Parish
County
Municipal District
Allotment Area
(for new dwellings only)
Land owned by the Crown or a public authority?

YesNo

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

Note: All costs specified in an application are to be inclusive of GST. If you need help understanding the new changes to this form, please refer to the Building and Plumbing Commission website https://www.vba.vic.gov.au/surveyors/building-permits/calculating-the-cost-of-the-building-work.
PART A
Is there a contract or agreement (other than a cost-plus contract or agreement) with a builder for carrying out the building work?*

YesNo
If yes, specify the contract price or agreed amount to be paid to the builder (including for the cost of labour and materials) under the contract or agreement
If no, is there a cost-plus contract or agreement with a builder for carrying out the building work?

YesNo
If yes, specify the builder's estimate of the total amount that the builder will receive or is likely to receive (including for the cost of labour and materials) under the contract or agreement
Upload details of the method of estimation

Cancelof
Specify the cost of any chattel under the contract or agreement
Specify the cost of any prescribed excluded item under the contract or agreement
PART B

Specify the class or classes of building to which the building work relates:
Does the building work relate to BOTH: (i) one or more buildings in a class 2, 3, 4, 5, 6, 7 or 8 building; AND (ii) one or more buildings in a class 1, 9 or 10 building?*

YesNo
If yes, specify the information required under Part A and under Part C

(if applicable) according to whether the building work relates to:

(i) buildings in a class 2, 3, 4, 5, 6, 7 or 8 building;

AND

(ii) buildings in 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

Application for a Building Permit

Lessee Responsible for Building Work

Ownership Details

Property Details

Builder (if known)

Natural Person for Service of Direction, Notices and Orders

Building Practitioners or Architects Engaged to Prepare Documents for This Permit

Social Housing

Emergency Recovery

Cost of Building Work

PART A

PART B

PART C

Stage of building work

OWNER BUILDER

PART A

PART B

PART C

PART D

PART E