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Minor Variation 24 Month Notification
Form C-Fm 2V (Version 2017/1-1)
This form is to notify the Building Consent Authority that the following minor variation is to be
undertaken on the building situated at the following address. Property Address:
Building Consent Number:
CONTACT DETAILS
Name (owner or Agent) delete one:
Landline
Email Address:
FIRST POINT OF CONTACT FOR COUNCIL (IF DIFFERENT FROM ABOVE)
Name:
Landline
Email Address:
INVOICING DETAILS
Name of person to charge :
Email Address:
ATTACHMENTS
Existing Plan
Proposed Plan
Scope of Variation
NOTE THE REASON WHY THIS IS TO BE CONSIDERED A MINOR VARIATION:
No other Building Code Clauses are affected
OR other Building Code Clauses have been considered and there is no further implication
OR variation has no cost change to original value of work
OR the variation has a cost change and this cost will be notified to the BCA prior to CCC
application on Form 6
Signed for and on behalf of owner
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BUILDING CONSENT AUTHORITY
The variation is agreed that it is minor in nature and there is no affect to other building code clauses and
this variation will be placed onto the building consent file.
Yes Name:
Signed:
Date:
No If no, an amendment is to be applied for by the owner.
Reason
Invoice actioned. Initial:
Date:
Signed for and on behalf of the owner
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