South Australian Consolidated Regulations

DEVELOPMENT REGULATIONS 2008 - SCHEDULE 12A

Schedule 12A—Building rules certification—major developments or projects

Development No:

Applicant/owner details

Applicant's name:
Full postal address of applicant:

Owner's name:
Full postal address of owner:

Contact person:
Phone (work):
Phone (home):

Details of the proposed development

Project name (or other identifying description):
Full site address of proposed development:
Section No:
Hundred:
Volume:
Folio:
Description by use:
Council area:
Rise in storeys (BCA clause C1.2):
Building Classification assigned:
Construction type (BCA clause C1.1):
Floor area of building:
Name and address of Building Rules certifier:
Name and address of builder:

Certification details

The proposed development described above and shown on the attached certified drawings has been assessed against the Building Rules and is hereby certified as complying with the Building Rules.                    Yes/No

The proposed development is consistent with any provisional development authorisation issued for the proposed development by the Governor or his/her delegate.                    Yes/No

A schedule of essential safety provisions has been issued in accordance with the Development Regulations 2008 and a copy is attached.                    Yes/No

The appropriate levy under the Construction Industry Training Fund Act 1993 has been paid.                    Yes/No

Signed by certifier:

Date:

Contact details:

Note—

No building work can commence until a final development approval has been issued and gazetted by the Governor.