Asset Protection Permit
Application
Engineering Services
(For payment in person and via mail only)
Old Calder Highway
Keilor Victoria 3036
Ausdoc DX30315
T 9249 4000
F 9249 4351
W brimbank.vic.gov.au
E info@brimbank.vic.gov.au
Applicant details
Name:
(Name refund is to be made to)
Address:
Suburb:
Postcode:
Contact name:
Phone Number:
Signature of applicant:
Date:
/
/20
Property address where building activities are occurring
Street no:
Lot no:
Street name:
Suburb:
Type of construction/works
Type of building
New
Demolition & removal
Residential
Additions/alterations
Swimming pool
Non-residential
Fees
(Please note the Permit fee is non-refundable once Permit is issued. Deposit may be refunded subject to the issue of Occupancy Permit/Final
Certificate and the completion of Council’s asset inspection)
Asset Protection Permit
$
162.30
Security Deposits:
(Select as appropriate)
$
1,000.00
GL Code: 401
All Demolition Sites
$
500.00
GL Code: 401
Residential Site
- Single Street allotment
$
1,000.00
GL Code: 401
Residential Site
- Cnr allotment (dual street frontage)
$
1,000.00
GL Code: 401
Non-Residential Site - Single Street allotment
$
1,500.00
GL Code: 401
Non-Residential Site - Cnr allotment (dual street frontage)
$
1,000.00
GL Code: 401
Residential Site
$
1,500.00
GL Code: 401
Non-Residential Site - Demolition & New Construction*
Total Payable:
GL Code: 405 (includes GST)
- Demolition & New Construction*
$
Privacy Collection Statement
The personal information collected on this form is for the purpose of enabling Council staff to process and assess an application for an Asset Protection Permit and will be
solely used for that purpose. This information will not be disclosed to any other person unless required by law. You may apply for access and/or amendment to your
personal information if required by contacting Council’s Freedom of Information Officer in writing.
Payment In Person
Payment by mail
Present this form and relevant documentation with your
payment at one of the following Customer Service Centres:
Please attach this form and relevant documentation to your
payment and post to:
Brimbank City Council
PO Box 70
Sunshine 3020

Sunshine – Alexandra Avenue, Sunshine
Mon – Fri, 8.45am - 5pm

Keilor – 704B Old Calder Highway, Keilor
Mon – Fri, 8.45am - 5pm

Watergardens – Station Street, Watergardens
Town Centre, Taylors Lakes
Mon, Wed, Thurs, 10.30am - 7pm. Tues, 1pm - 7pm.
Fri, 10am - 5pm. Sat, 10am - 12.30pm
Engineering Services
(money order or cheque, NO CASH)
Demolition & New Construction:
This option is only to be selected when the same
builder/applicant is responsible for both demolition and
construction at the same site. Bond will be withheld until
both works are completed, subject to inspection results.
July 2015 | Revision 12
REC.ENG.002 - Page 1 of 1