Application for a Building Permit 
Building Act 1993 Building (Interim) Regulations 2017 Reg 301.
copyright     Note  That the information you provide is stored in our database Unit 1, 49 - 55 Riverside Avenue
Werribee Vic 3030
* Indicates Mandatory fields, These MUST be completed for submitting application
Ph 9741 3432  
Owner Details
* Owner of Land : OwnerEmail
Street No :
Postal Address : City/Town Postcode :
Contact Person : Telephone Mobile :
Agent  /  Address for Serving of Notices:
* Agent of Owner : AgentEmail
Street No :
Postal Address : City/Town Postcode :
Contact Person : Telephone :   Mobile :
Property Details
Number : Street/Road : City/Town : Municipality :
Lot/s : LP/PS   : Folio : Volume :
Crown Allotment : Section   : Parish : County :
Melways Referance    
Is the applicant a Lesee of Crown to which this application applies?
Is the Land Owned by the Crown or a Public Authority?
Builder Details:
I intend to carry out the work as an Owner Builder?
I intend to engage an Approved Builder / Supervisor?
(If a registered domestic Builder carrying out domestic building work; attach details of the required insurance)
  * Builder Name   Builder Reg No
Street No   Insurer is
Postal Address   City/Town   Postcode  
Contact Person   BuilderEmail
Telephone     Mobile    Fax     
Building Practitioners and/or Architects:
To be engaged in the Building Work
Name : Category/Class : Registration :
Name : Category/Class : Registration :
Who were engaged to prepare documents submitted with this application
Name : Category/Class : Registration :
Name : Category/Class : Registration :
Nature of Building work
Construction of a new Building Extension of an existing Building
Alterations to an Existing Building Change of use of an Existing Building
Demolition of a Building Removal of a Building
Re-Erection of a Building Other
Who is to be invoiced?
Is there a quote for the Building Permit Fees? (quoted permit fee $)
Who is providing property information?    
Number of Storeys (enter real digits eg 1,2 etc)

Description of Building Work
Is there a contract for the Building Work? If yes, state the contract price $  
If no, state the estimate cost of the building (including the cost of labour and materials) and attach details of the method of estimation $  
Builder Job Number (if applicable)  
Stage of building work (if applicable)  
Cost of this Stage (if applicable)  
Materials Type Areas m2  
Ground Floor Dwelling enter numbers only
External Walls Other Buildings  
Roof Total Building/s Area  
Frame Allotment Area  
Has Solar Hot Water      
Has RainWater Tank?      
.  One File per upload button,
ONLY PDF FILES ARE ALLOWED, otherwise your application will not upload.          Additional Files can be added here....
* Minimum Requirements for Dwelling Applications shown in Red.
*Architectural Drawings additional file
*Copy Of Title   additional file
*Plan Of Subdivision   additional file
Builder Insurance Certificate additional file
Certificate of Consent   additional file
Property Information   additional file
Town Planning Response   additional file
Town Planning Approval   additional file
Protection of Adjoining Property   additional file
Stormwater Approved Point   additional file
Depth and offset to easement   additional file
Developers approval for the estate   additional file
Soil Report   additional file
Structural Computations additional file
Structural Drawings   additional file
6Star Energy Rating Report   additional file
Specifications   additional file
Bushfire Assessment (BAL) additional file
Building Envelopes / Guidelines   additional file

* I hereby advise that no other Building Surveyor has been engaged for this building work.
* The work has not been already constructed.
Town Planning No : Date of Issue :
  * Applicant Email Address :
Name of Agent or Owner : Date   :

I have read and accepted the terms and agreements specified below:

Terms And Agreements.

• No other Building Surveyor has been appointed for this building work & works have not already been constructed/commenced.
• I understand that my Building Permit may be delayed if all relevant documentation is not supplied.
• I understand that if all copies of plans and certificates are not supplied, I may be charged photocopying fees at the relevant rate.
• I understand that under Schedule 2 of the Building Act 1993, the fee for building surveying services must be paid on Application.
• West Side Building Surveying may agree to provide services to you under this application on credit. In order to process your application and manage the relationship, by signing this agreement, I/we agree to West Side obtaining from a credit reporting body(ies) information about me/us in relation to commercial credit provided by West Side and exchanging information with other credit providers including personal information about me/us.
I/we agree that if I/we default on our terms of engagement, West Side may list information about my/our credit default with a credit reporting agency.
• If this application and / or Building Permit is cancelled fees may apply at the discretion of West Side Building Surveying.
• I understand that all Building Notices, Building Orders and Building Act Section breaches served upon the owner or builder will incur a fee as set by West Side Building Surveying. • West Side Building Surveying may, at any stage, be entitled to withhold supply of goods or services until any outstanding invoices have been paid to the satisfaction of West Side Building Surveying.
• All accounts are to be settled in full within the agreed trading terms noted on the Invoice.
• These terms will only continue if payment is maintained in accordance with the agreed trading terms.
• Should the Applicant default in making any payment in accordance with the agreed trading terms, then all monies due to West Side Building Surveying shall immediately become due and payable.
• Further fees and charges will apply if action to recover an outstanding balance is undertaken – this may include charges from Debt Recovery firms/agencies and/or legal firms.
• It is expressly understood and agreed that this arrangement may be terminated at any time by West Side Building Surveying. In that event, all monies owing to West Side Building Surveying will be immediately due and payable.
• West Side Building Surveying will rely on the accuracy and completeness of all information supplied by you in performing our obligations under this agreement;
• The Applicant warrants that the information provided is accurate, correct and complete and that they have read, understood and agree to be bound by the terms and conditions contained in this Application for a Building Permit.

  * *  Enter Name of person signing application                

design copyright Savont P/L 0419202203