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Building Permit Variation Form
Building Act 1993, Building Regulations 2018
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This field is for validation purposes and should be left unchanged.
Property Details
Lot / No.
(Required)
Property Address
(Required)
Street Address
City
ZIP / Postal Code
Applicant
Owner or Agent of Owner*
Applicant Name
(Required)
First
Last
Postal Address
(Required)
Street Address
City
ZIP / Postal Code
Phone Number
(Required)
Email
(Required)
Variations
Variations Sought
Extension of Time
Change in Architectural Drawings
Change in Engineering Drawings
Change in Builders Details
Other
State Other Variation
Reason for Variation
(Required)
Signed by
(Required)
First
Last
Signed Date
(Required)
DD slash MM slash YYYY
Signature (Agent of owner or owner*)
*AGENT OF OWNER UNDER SECTION 248 OF THE BUILDING ACT: 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 (BUILDING ACT 1993) OR THE REGULATION (Building Regulations 2018) UNLESS THE PERSON IS AUTHORISED IN WRITING BY THE OWNER TO DO SO
