Application For A Building Permit Page 2

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BA
1 Tivoli Road, Old Beach Tas 7017
PA
Tel: (03) 6268 7000
Fax: (03) 6268 7013
development@brighton.tas.gov.au
Email:
SPP
Web:
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Section 70
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2
To:
Brighton Council
Permit Authority
Council Offices, 1 Tivoli Road
Form
Address
OLD BEACH TAS
7017
Suburb/postcode
Applicant / Owner details:
Note: Only an owner or agent of the owner may make an application
Owner:
A.B.N. No.
Address:
Phone No:
Mobile No:
Fax No:
Owner/Builder:
Yes:
(X if applicable)
Email address:
Agent:
A.B.N. No.
Address:
Phone No:
Mobile No:
Fax No:
Note: Agents to be authorised in writing by the owner
Email address:
Details of building work:
Address:
Lot No:
Certificate of title No:
(new building / alteration / addition / repair
Type of work:
/demolition / removal / re-erection / other)
Use of building:
(main use)
Building class:
Other details:
Area m
2:
existing building floor:
new floor:
land:
Material:
floor:
walls:
roof:
frame:
Value of work: $
contract price:
estimate:
(X one applicable)
(incl. of GST)
Has the Building Surveyor certified value of works ?
Yes $
No
No. of dwelling units:
Building practitioner details:
Building Surveyor:
Category:
Address:
Phone No:
Mobile No:
Fax No:
Accreditation No:
Email address:
Director of Building Control - date approved: 01January 2017
Building Act 2016 - Approved Form No 2

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