PART A 					PROJECT DETAILS 	

Block	
	Section 	
	Suburb		Unit No.		

Street Address	

Date Building 
Approval Issued	

Description of work to which this Commencement Notice relates:

Describe each item of building work in this building approval	BCA Occupancy Class	BCA Construction Type	Area (m2)	Number of Storeys	Cost of Works (refer to building cost guide)	
1

2

3

4

5

6

ENERGY EFFICIENCY REQUIREMENTS

Is an Energy Efficiency Rating required for any of the work listed above?
	•	YES	•	NO	
If YES please specify item number/s		

PART B					BUILDER DETAILS	

     Licence Holders Name as it
     appears on Licence Card:	

Licence Number	
		Class			Expiry Date		

If the builder is a company or partnership provide details of the nominee who will supervise the building work

Nominee	

Licence Number	
		Class			Expiry Date		

PART C					INSURANCE

For residential building work please provide details of insurance where applicable

Insurance Provider	
		Policy No.			Date Issued		

PLEASE NOTE: 

•	A copy of the Commencement Notice application, this notice and where applicable the residential building insurance policy or fidelity certificate must be given to the Construction Occupations Registrar within one (1) week of the issue date.  

•	A copy of the Commencement Notice must also be provided to the builder and the owner/s.

PART D				CERTFIER DECLARATION

 Name of Certifier Issuing Notice:	
	Licence No:		

 Issue Date of 
 Commencement Notice	

This Commencement Notice is issued in accordance with the Building Act 2004, to the licensed builder stated above and authorises the commencement of the stated building work.  The issue of this Commencement Notice indicates that I am satisfied that the builder’s license authorises the work in the building approval.  Where applicable, for residential building work I have been provided with a residential building insurance policy or fidelity certificate.

This building commencement notice will end if:
(a)	for residential building work – the work is no longer insured; or
(b)	the building approval for the work ends.

Certifier Signature  	
	Date		

NOTE: There are penalties for deliberately giving false and misleading information. The Planning and Land Authority or Minister may revoke an approval if satisfied that the approval was obtained by fraud or misrepresentation.

Privacy Notice                                                                                                                                                                                                                                                                
The personal information on this form is provided to Access Canberra to enable the processing of your application. The collection of personal information is authorised by the Building Act 2004. If all or some of the personal information is not collected Access Canberra cannot process your application. The personal information you provide may be disclosed to Australian Bureau of Statistics, ACT Revenue Office and the Taxation Office. The information may also be disclosed where authorised by law or court order, or where the Directorate reasonably believes that the use or disclosure of the information is reasonably necessary for enforcement‐related activities conducted by, or on behalf of, an enforcement body. Access Canberra’s Information Privacy Policy contains information about how you may access or seek to correct your personal information held by Access Canberra, and how you may complain about an alleged breach of the Territory Privacy Principles. Access Canberra Information Privacy Policy can be found at www.act.gov.au/accessCBR

CONTACT INFORMATION
  Email:
  ACTPLAedevlopmentBA@act.gov.au

	Post:
Access Canberra
Building Services
Shopfront Mitchell
GPO Box 158
Canberra, ACT 2601	In Person:
Please visit www.act.gov.au/accessCBR
Or call 132281 to find an 
Access Canberra Shopfront.