Form 56 "Notice to the Local Government That a Private Certifier Has Been Engaged" - Queensland, Australia

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Notice to the local government that a private
Form 56
certifier has been engaged
Section 143 of the Building Act 1975 requires a private certifier engaged by the owner (an owner client) to give notice of the
engagement to the relevant local government within five business days after the engagement starts, unless the private certifier
has a reasonable excuse.
Section 143A requires the private certifier engaged by a client (who is not the owner) to give notice of the engagement to the
relevant local government within 15 business days after the engagement starts, unless the private certifier has a reasonable
excuse.
This Form 56 may be used by the private certifier to give notice of the engagement to the relevant local government as required
under sections 143 or 143A of the Building Act 1975.
Notify the local government that a
Notify the local government that a private certifier has been engaged
private certifier has been
engaged.
(send to local government).
Pursuant to section 143 of the Building Act 1975, I advise that I,
(insert name)
have been engaged as the private certifier for the proposed building work described
below.
Company name (if applicable)
Date of engagement
DD / MM / YYYY
Street address (include number, street, suburb/locality and postcode)
1. Property description
The description must identify all land
the subject of the application.
State
Postcode
The lot and plan details (e.g. SP/RP)
QLD
NSW
VIC
TAS
SA WA
NT
ACT
Lot and plan details (attach list if necessary)
are shown on title documents or a
rates notice.
If the plan is not registered by title,
Local government area the land is situated in
provide previous lot and plan details.
Name (in full)
2. Owner’s details
If the applicant is a company, a
contact person must be shown.
Company name (if applicable)
Contact person
All correspondence will be mailed
to this address.
Business phone number
Mobile number
Email address
Postal address
State
Postcode
QLD
NSW
VIC
TAS
SA WA
NT
ACT
Building Act 1975  •  Section 143/143A  •  Form 56  •  Version 3  •  October 2020
Page 1 of 2
Notice to the local government that a private
Form 56
certifier has been engaged
Section 143 of the Building Act 1975 requires a private certifier engaged by the owner (an owner client) to give notice of the
engagement to the relevant local government within five business days after the engagement starts, unless the private certifier
has a reasonable excuse.
Section 143A requires the private certifier engaged by a client (who is not the owner) to give notice of the engagement to the
relevant local government within 15 business days after the engagement starts, unless the private certifier has a reasonable
excuse.
This Form 56 may be used by the private certifier to give notice of the engagement to the relevant local government as required
under sections 143 or 143A of the Building Act 1975.
Notify the local government that a
Notify the local government that a private certifier has been engaged
private certifier has been
engaged.
(send to local government).
Pursuant to section 143 of the Building Act 1975, I advise that I,
(insert name)
have been engaged as the private certifier for the proposed building work described
below.
Company name (if applicable)
Date of engagement
DD / MM / YYYY
Street address (include number, street, suburb/locality and postcode)
1. Property description
The description must identify all land
the subject of the application.
State
Postcode
The lot and plan details (e.g. SP/RP)
QLD
NSW
VIC
TAS
SA WA
NT
ACT
Lot and plan details (attach list if necessary)
are shown on title documents or a
rates notice.
If the plan is not registered by title,
Local government area the land is situated in
provide previous lot and plan details.
Name (in full)
2. Owner’s details
If the applicant is a company, a
contact person must be shown.
Company name (if applicable)
Contact person
All correspondence will be mailed
to this address.
Business phone number
Mobile number
Email address
Postal address
State
Postcode
QLD
NSW
VIC
TAS
SA WA
NT
ACT
Building Act 1975  •  Section 143/143A  •  Form 56  •  Version 3  •  October 2020
Page 1 of 2
3. Description of proposed building
Insert description:
work
Name of building certifier (in full)
4. Private certifier’s details
If the certifier works for a company,
a contact person must be shown.
Company name (if applicable)
Contact person
Business phone number
Mobile number
Email address
Postal address
State
Postcode
QLD
NSW
VIC
TAS
SA WA
NT
ACT
Licence number
Signature
Date
5. Private certifier’s signature
Building Act 1975  •  Section 143/143A  •  Form 56  •  Version 3  •  October 2020
Page 2 of 2
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