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36016 F21
4. Details of the building development approval
Building development approval number
Building certifier reference number 36016
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 Click or tap to enter a date.
slab stage Click or tap to enter a date.
Frame Stage Click or tap to enter a date.
Final stage 25/01/2024 Click or tap to enter a date.
Other stages
Blockwork/Masonry stage Click or tap to enter a date.
Click or tap to enter a date. Click or tap to enter a date.
Dated this 25/01/2024
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
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