Form 71a - Standard Of Work Certificate Building Work - Kingborough, Australia

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STANDARD OF WORK CERTIFICATE – BUILDING WORK
Section 151
Section 103
Building Surveyor:
To:
Form
Address
71A
Suburb/postcode
Builder details:
Category:
Builder:
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 building work:
Type of work:
Permit work
Notifiable work
(X one applicable.)
Certificate of Likely
Permit or Certificate of
Compliance No:
Likely Compliance No:
Lot No:
Address:
Certificate of
title No:
(new building / alteration
Type of work:
/ addition / repair /
removal / re-erection /
other)
(main
Building class(es):
Use of building:
use)
Builder Standard of Work Statement:
I confirm I am the Licensed Builder responsible for the construction and supervision of the above referenced
project. Having supervised and/or carried out the building work, I confirm that:
(a) all building work is complete; and
(b) all directions given under the Building Act 2016 and Building Regulations 2016 have been complied with;
and
Director of Building Control - date approved: 1 July 2017
Building Act 2016 - Approved Form No 71A

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