Building Services Page 1 of 2
519-837-5615, (December 2020)
Revision to a permit to
construct or demolish
Project address, including unit number:
Additional construction value in dollars:
Additional floor area (square feet):
A. Applicant information
Is applicant the owner or authorized agent of owner:
Corporation or partnership (if applicable):
Last Name: First Name:
Mailing address:
Municipality: Postal code:
Telephone number: E-mail:
B. Purpose of revision
C. Attachments
1. Attach Schedule 1 for each individual who reviews and takes responsibility
for design activities. Revised drawings require an additional Schedule 1
for each individual whose drawings are revised.
2. Attach types and quantities of plans and specifications for the proposed
constructions or demolition that are prescribed by the Building by-law.
D. Declaration of applicant
I (print name) clarify that:
1. The information contained in this applicant schedules, attached plans and
specification, and other attached documentation is true to the best of my
2. I have authority to bind the corporation or partnership (if applicable).
Signature of applicant:
click to sign
click to edit
Page 2 of 2
E. Permit fee calculation
Table 1: Permit fee calculation
Floor Area Fee per square foot
Fee Total:
For use by Principal Authority
Application Number:
Fee collected by:
Date Received:
Collection of Personal Information
Personal information is being collected and will be used for the purposes of
confirming Ontario Building Code design and review requirements have been met
prior to the issuance of a building permit, and to communicate with applicants.
Personal information contained in this form and schedules is collected under the
authority of subsection 8(1.1) of the Building Code Act, 1992, and will be used in
the administration and enforcement of the Building Code Act, 1992.
If you have questions about the collection, use or disclosure of this personal
information please call 519.822.1260 extension 2349 or email
Alternate formats of this document are available as per the Accessibility for
Ontarians with Disabilities Act by contacting Building Services at 519-837-5615 or