Building formBuilding services

Termite statement The following form is required to be completed and signed by the Building owner prior to the issue of a Building Permit.

OWNER TO COMPLETE

Owner:

Owners Address:

PROPOSE TO CONSTRUCT (please tick)

Dwelling Addition to a dwelling

Other building please specify:

PROPERTY DETAILS

No: Lot/s: LP/PS:

Street/road:

Suburb:

PROTECTION PROPSED (please tick)

I/We have considered the alternatives for the protection of the proposed building against subterranean termites and nominate the following:

Physical barriers

Granite screenings

Termi Mesh - stainless steel mesh barrier

Chemical Treatment of the soil, or

A combination of the above (nominate)

Other method (attach detailed specification)

SIGNATURE

Signed: Date: