Building Permit Application Form for Extension of Time

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					                                                                BLD45


                                      Building Permit Application Form
                                            for Extension of Time


                                                 Building Act 1993
                                             Building Regulations 2006
                                                 Regulation 315 (4)

To: Municipal/Relevant Building Surveyor

I/we hereby apply for an extension of time for twelve (12) months to commence*/complete* the
building work under this permit. (*delete if not applicable)

The application fee of:      $252.50 is enclosed (Class 1 & 10)                      cheque             cash             card

                             $363.60 is enclosed (Class 2 - 9)                       cheque             cash             card


Property Address .............................................................……………………………………………....
……..........................................................…………….............…......… Post Code …………………
Owner of Land ......................…………......................……….....…………………………………........
Postal Address ........................…..........................…..........................… Post Code …………………
Contact Person .......................……………........... …………………….                              Phone No. ………...……….
Agent of Owner ........................................................................………………………………….......….
Postal Address ..........................…….. ……………..……............……. Post Code
…..


Contact Person .......................…………….............…….......………….                        Phone No. ………...……….
Permit Details
Permit No.      .........………………..............……......……....…............                      Issued .........………............
Signature of Owner or Agent .........……………………………………………………………...…….

Print Name       .........................…….........….........…………...……....               Date ............………..............




Please Note:       This application form and fee must be received by the Municipal/Relevant Building
                   Surveyor at least fourteen (14) working days before the permit is due to lapse,
                   otherwise it will lapse if not processed in time, and an application to the Building
                   Appeals Board will be required seeking a modification of the Building Regulation.




RICHARD G WHITTING                                                                                          BLD0392 – 26/5/03
Municipal Building Surveyor                                                                                 Last Update 01/07/09


                                            293 Springvale Road (PO Box 1) Glen Waverley 3150
                    Telephone 03) 9518 3476 Facsimile 03) 9518 3411 Ausdoc DX 15005 Constituted as Monash City Council
                                                           1-60-610-5200-000-3266