Self Build Exemption Claim Form: Part 1
To be submitted before development commences
Please complete using block capitals and black ink.
1. Application Details:
Applicant
Name:
Local authority planning application number (if allocated):
Planning Portal Reference (if applicable):
Section A: Claiming Exemption - General Information
To be completed by the individual(s) claiming self build exemption.
Postcode
(optional):
Easting: Northing:
Description of location or a grid reference.
(must be completed if postcode is not known):
Description:
Please provide the full postal address of the application site, or otherwise a full grid reference or site description.
Section B: Self Build Declaration
I declare that this a “self build project” for purposes of the exemption set out within the regulations
I declare that I will occupy the premises as my sole or main residence for a period of 3 years from completion
of the property
I declare that I will provide the required supporting documentation as set out in 'Self Build Exemption
Claim Form Part 2' within 6 months of completion of the property and I understand failure to do this will
result in CIL becoming payable
I declare the amount of de minimis State aid received in the last three years prior to submission of this
application for relief is less than 200,000 Euro
`Self Build' for the purposes of CIL exemption is defined as all homes built or commissioned by individuals or groups of individuals for their own
use, either by building the home on their own or working with builders.
`Completion' for the purposes of CIL exemption is defined as the issuing of a compliance certificate for this development issued under either
regulation 17 (completion certificates) of the Building Regulations 2010 or section 51 of the Building Act 1984 (final certificates).
`Information about de minimis State Aid for the purposes of CIL exemption can be found here:
Page 1 of 2
http://www.planningportal.gov.uk/uploads/1app/forms/140214_state_Aid_extract_FINAL_PDF.pdf
