35755 F21

4. Details of the building development approval

 Building development approval number


 Building certifier reference number             35755


5. Performance standards
If the building work uses a performance-based solution, list the performance requirements used.

 Performance requirements




6. Certification
Pursuant to section 10 of the Building Act 1975 for the performance of building certification functions.

 I certify that on an inspection carried out in accordance with best industry practice, the building work for the above building or
 structure was inspected and complies with the building approval or certificates of inspection were accepted from competent
 persons at the following stages of the construction.



                                               Date of inspection                         Date of certificate
 Foundation / footing stage                    4/05/2022                                  4/05/2022
 slab stage                                    4/05/2022                                  4/05/2022
 Frame Stage                                   8/08/2022
 Final stage                                   28/03/2023
 Other stages
 Blockwork/Masonry stage




 Dated this             29/03/2023



7. Building certifier

 Name (in full)                        Michael Bowcock

 Company name (if applicable)          Coastal Building Certifications P/L

 Contact person                        Michael Bowcock

 Business phone number                 07 5476 9988                                 Mobile     0414954390

 Email address                         [email protected]

 Licence number                        A23659




Building Act 1975 • Section 98 and 99 • Form 21 • Version 1 • September 2021                                              Page 2 of 4