APPLICATION FOR A BUILDING PERMIT
FORM 1 - Regulation 301
Building Act 1993
BUILDING REGULATIONS 2006
Property details
Number
Application No ____________________
Street/road
City/Suburb/Town
Lot/s
LP/PS
Municipal District
Volume
Folio
Crown allotment
Section
Allotment area (for new dwellings only) m2
Owner/Agent of Owner
Owner/Agent of Owner
Postal address
Postcode
Contact person
Mobile No.
Contact telephone No,
Fax No.
E-mail address.
Ownership Details (only if agent is not the owner)
Owner
Postal address
Postcode
 click if applicable
Land owned by the Crown or a public authority
Builder (if known)
Name
Telephone
Postal address
Postcode
Contact person
Mobile No.
Contact telephone No
Fax No.
E-mail address __________________________________________________________________________
(PLEASE TURN OVER TO COMPLETE APPLICATION)
Building practitionersi and/or architect
(a) Builder to be engaged in the building workii
Name
Category/Class
Registration No.
(b) Engineer and Draftsperson who were engaged to prepare documents forming part of the application
for this permitiii
Name
Category/Class
Registration No.
Name
Category/Class
Registration No.
Nature of building work*
 Construction of a new building  Extension to an existing building
 Alterations to an existing building
 Demolition of a building
 Re-erection of a building
 Removal of a building
 Change of use for existing building
 Other
Proposed use of buildingiv
(Description of work)____________________________________________________________________________
Planning Permit
Planning permit No
Issue Date _____________ Planner ___________________________
Owner Builderv (if applicable)
I intend to carry out the work as an owner builder.
Yes
No
Cost of building work
Yes
No
Is there a contract for the building work?
If yes, state the contract price. If no, state the estimated cost of the building work (including the cost of labour
and materials) and attach details of the method of estimation
$
Stage of building work (If application is to permit a stage of the work)
Extent of stage
Value of work for this stage $_____________________
Signature of owner or agent _______________________________________ Date
Note: Please note that Fees and Associated Government Levies are applicable to Building Applications as
required by the Building Act 1993.
The personal information requested on this form is being collected by Council for the purpose of evaluating an
application. This information will be used solely by Council for that primary or directly related purpose. The
applicant understands that the personal information provided is for the purpose of evaluating an application and
that they may apply to Council for access and/or amendment of the information.
Revised 1 July 2014
i
Building practitioner means—
(a) a building surveyor; or
(b) a building inspector; or
(c) a quantity surveyor; or
(d) an engineer engaged in the building industry; or
(e) a draftsperson who carries on a business of preparing plans for building work or preparing
documentation relating to permits and permit applications; or
(f) a builder; or
(g) a person who erects or supervises the erection of prescribed temporary structures; or
(h) a person responsible for a building project or any stage of a building project and who belongs to a
class of people prescribed to be building practitioners
but does not include—
(i) an architect except in Part 9 and sections 24(3) and 176(6) of the Act; or
(j) a person (other than a domestic builder) who does not carry on the business of building.
ii
Include building practitioners with continuing involvement in the building work.
iii
Include only building practitioners with no further involvement in the building work.
iv
The use of the building may also be subject to additional requirements under other legislation such as the Liquor
Control Reform Act 1998 and the Dangerous Goods Act 1985.
v
If an owner builder, restrictions on the sale of the property apply under section 137B of the Act. Section 137B also
prohibits an owner builder of domestic building work from selling the building within 6½ years from the date of
completion of the relevant works unless they have satisfied certain requirements including obtaining compulsory
insurance. The Building Control Commission maintains a current list of domestic insurance providers.

It is an offence pursuat to Section 78 of the Act to appoint a person as the relevant building surveyor if
another building surveyor has already been appointed, or otherwise authorised for the project. In the
making of this application I warrant that no other building surveyor has been appointed (or has otherwise
commenced duties) in relation to the project referred to in this application.

I understand that the fees associated with this building permit application are for the processing of the
application to dertermine if a building permit can be issued. Where a building permit is not issued a full
refund of fees will not occur.

This building permit application allows for a maximum of two plan checks.