7 Day Notice Statutory Declaration

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FORM OF 7 DAY NOTICE STATUTORY DECLARATION
Building Control Acts 1990 and 2007
7 Day Notice Statutory Declaration
OFFICIAL USE
Building Control Authority:
Date Received ________________________
________________________
Register Ref. ________________________
Entered on
________________________
Entered by
________________________
Fee Received ________________________
I / We ______________________________________________________________________
of ________________________________________________________________________
do solemnly and sincerely declare that I / We have made an application to the above Building
Control Authority for a Fire Safety Certificate in respect of works commencing not less than
7 days from this date.
Description of works; _________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
located at ___________________________________________________________________
___________________________________________________________________________
pursuant to Article 12 of the Building Control Regulations 1997 to 2009 and I / We solemnly
declare that the application has been completed in full and complies in all respects with the
relevant provisions of the Building Control Regulations.
I / We further solemnly declare that any works that have commenced before the grant of the
Fire Safety Certificate will comply fully with the building regulations and I / We will, within
such period as may be specified by the Building Control Authority, carry out any
modification of such works that is required by or under the Fire Safety Certificate, including
any condition(s) attached to the Fire Safety Certificate when granted by the Building Control
Authority.
Signed: _______________________
Date:
_______________________
Signed in the presence of Commissioner of Oaths:-

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