ABN 26 807 194 868
Suite 1 146 Oak Road
KIRRAWEE NSW
Phone 8880 4480
Email:
.au
Notice of Commencement of Building Work and
Appointment of the PCA
This form needs to be signed and the form ‘Agreement to Appoint Principal
Certifying Authority’ completed and both forms returned to MBC with the fees
nominated on the Agreement.
Subject Land
Address
Lot No., DP/MPS, etc vol/fol
Description of Development
Type of Work
Building Work
Consent
Development Application No.
Date of Determination
Construction Certificate
Certificate No.
Date of Issue
Principal Certifying Authority
(PCA)
Name of Certifying Authority
Geoff French
Accreditation No.
BPB0822
Address
Suite 1 146 Oak Road Kirrawee NSW 2232
Contact No.
Principal Contractor's Details
Builder's Name
Address
Phone Number and Licence Number
Fax Number
Notice of Commencement
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