1. What are you applying for?
Extension of time to issue Code Compliance Certificate
Extension of time to commence works
2. Where is the building?
Complete both fields
Street address
Legal description:
3. When/where was the building consent issued?
Complete all fields
Building consent number:
Date issued:
Issued by: (name of
building consent authority)
4. Who owns the building?
Complete all fields, using N/A if a field is not applicable
Owner name: Title: e.g. Mr, Mrs, Ms, Dr
Owner mailing address:
Owner email address:
Owner contact numbers: PH: Cell:
5. Why is an extension required?
Complete all fields
Reason:
New start date:
Expected completion:
6. Signature
Complete all fields
Owner name:
Signature:
Date:
You can add a digital signature to this document, either using Adobe or your existing digital signature.
Once you have filled out the form, including signatures, please save the application to your computer. You can then
submit the application with supporting documentation to your local council.
If you are unsure about what information to include in your application, a guidance document is available (click here).
APPLICATION FOR EXTENSION OF TIME
05-12-2017 v1.3 GoShift Application for Extension of Time Page 1 of 1
click to sign
signature
click to edit
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