Form 71c - Standard Of Work Certificate Demolition Work - Tasmanian Government He Department Of Justice

ADVERTISEMENT

STANDARD OF WORK CERTIFICATE – DEMOLITION
Section 201
Section 126
WORK
Building Surveyor:
To:
Form
Address
71C
Suburb/postcode
Builder/ demolisher details:
Builder:
Category:
Phone No:
Address:
Fax No:
Email address:
Licence No:
Owner details:
Note: Copy must be forwarded to Owner
Owner:
Phone No:
Address:
Fax No:
Details of demolition work:
Type of work:
Permit work
Notifiable work
(X one applicable.)
Certificate of Likely
Demolition Permit Number or
Compliance No:
Certificate of Likely Compliance No:
Lot No:
Address:
Certificate of
title No:
(whole or partial
Type of work:
demolition, removal,
other)
(main use)
Building class(es):
Use of existing
building:
Builder/ demolisher Standard of Work Statement:
I confirm I am the Licensed Builder or Demolisher responsible for the demolition and supervision of the
above referenced project. Having managed and/or carried out the demolition work, I confirm that:
(a) all demolition work is complete; and
(b) all directions given under the Building Act 2016 and Building Regulations 2016 have been complied
with; and
(c) the demolition work is in compliance with all requirements under the Work, Health and Safety Act 2012,
the approved plans, specifications and conditions of the Certificate of Likely Compliance.
Name: (print)
Signed
Date
Builder/
demolisher:
Director of Building Control - date approved: 1 July 2017
Building Act 2016 - Approved Form No 71C

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go