Building notice

Applicant details

Applicant details

Client

Where available and different from the applicant

Client

Principal / sole contractor

Contractor

Principal / sole / lead designer

Designer

About the site

Proposed works

  • If creating an extension to existing building, provide the floor area (square metres).
  • If the work is for internal alterations, advise the approximate cost of works.

Declaration

This application is deposited in relation to the building work etc., as described above. It is submitted in accordance with Regulation 12(2)(a) and is accompanied by the appropriate charge.

Sign above
Signatory
On behalf of
(Applicant's name where the declaration is made by an agent)