Application for Council Report and Consent to
Build on Land Subject to Flooding
and/or Designated Land
Pursuant to Regulation 802 and 806, Building Regulations 2006
1. Your details
Are you the:
Owner
Agent of Owner
Name
Mailing address
Postcode
Phone number
Mobile number
Email address
Fax
2. Property details
Lot number
Street number
Street name
Suburb
Postcode
3. Additional information to be supplied with this application
A current, clear copy of the registered Certificate of Title, including every sheet of the Plan of Subdivision
and any encumbrances registered against the Title (eg. Covenants, Caveats, 173 Agreements etc...)
Clear and complete design of Building Permit application documents and plans
Relevant water authority comments and endorsed plans
Applicant’s Signature
Date
Note:
Pursuant to Section 248 of the Building Act 1993, a person must not act on behalf of an owner of a building or land for the purpose of making any application, appeal or referral under this
Act or the regulations unless the person is authorised in writing by the owner to do so. Penalty: 120 penalty units
4. Payment details
Council Report and Consent to Build on Land Subject to Flooding: (regulation 802)
$250.60
OFFICE USE ONLY: Receipt type: 653 Ledger number: 1400.820.0837
Council Report and Consent to Build on Designated Land: (regulation 806)
$250.60
OFFICE USE ONLY: Receipt type: 653 Ledger number: 1400.820.0837
Your signature below is an authority for Melton City Council to issue a sales voucher for the amount shown below as your payment for the
Application for Council Report and Consent to Build on Land Subject to Flooding or Designated Land.
Card type
Visa
Mastercard
Credit card number
Expiry date
Cardholder’s name
/
/
Do you require a receipt?
/
Amount
/
$
Cardholder’s signature
Please return completed form to:
Mail:
Email:
Melton City Council
buildingpermits@melton.vic.gov.au
PO Box 21,
(max. file size: 10MB)
Melton VIC 3337
Fax:
9743 9970
Yes
No