Application For A Building Permit Page 3

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Designer:
Category:
Address:
Phone No:
Mobile No:
Fax No:
Accreditation No:
Email address:
Builder:
Category:
Address:
Phone No:
Mobile No:
Fax No:
Accreditation No:
Email address:
Documents and certificates provided:
The following specified documents and certificates are provided with this application -
Information
Document or certificate description:
Prepared by:
Required
(accreditation No. if applicable)
Certificate of Likely Compliance:
……………………………………
………………………………………………………………………………………..
Owner/Builder Report – Director of Building Control (if applicable):
……………………………………
………………………………………………………………………………………..
Certificate of Title, Schedule and Plan:
……………………………………
………………………………………………………………………………………..
Architectural Plans:
…………………………………….
………………………………………………………………………………………..
Outline Plan and procedure of demolition works (if applicable):
……………………………………
………………………………………………………………………………………..
Details of proposed work for the protection of persons or property:
……………………………………
………………………………………………………………………………………..
All documents referred to on the Certificate of Likely Compliance:
……………………………………
………………………………………………………………………………………..
……………………………………
………………………………………………………………………………………..
The building work will be carried out in accordance with the Building Act 2016, the Building Regulations 2016 and
the National Constructuin Code.
This is an agreement pursuant to s. 139 of the Building Act 2016 between the applicant(s) for this project and the Brighton
Council Permit Authority in relation to the proposed building work included in this application.
The agreement requires the Brighton Council Permit Authority to issue a building permit within seven working days of
receiving the required information specified in s.143(1) & s. 139 of the Building Act 2016.
If these matters have not been satisfied, the Brighton Council Permit Authority reserves the right to refuse the issue of a
building permit within seven ( 7) days or a period agreed between the applicant and the Permit Authority, pursuant to s.
142 of the Building Act 2016.
I, the applicant (this includes the owner or an agent of the owner) consent to the terms of this application.
Name: [print]
Signed:
Date:
Owner / Agent:
(Delete one not
applicable)
PLEASE ALSO READ AND SIGN THE REVERSE OF THIS FORM
Director of Building Control - date approved: 01January 2017
Building Act 2016 - Approved Form No 2

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