Customer Request Management Entry

Instructions

PRIVACY NOTIFICATION STATEMENT - Any personal information provided, is required for the purpose of processing your request and will be protected in accordance with the provisions of the Privacy and Data Protection Act 2014 and Councils Information Privacy Policy. You have a right to access your personal information collected by Council. The information will not be disclosed to anyone outside of Council and will be kept secure and destroyed in accordance with the Public Records Act. If you choose not to provide the information that is sought, we may be unable to process your request or to update you on the outcome. Please note: We are unable to communicate or update you on progress in relation to your request if you provide incorrect contact information

Building - Application to remove/decommission swimming pool/spa

I, as the owner, have removed/decommissioned my pool/spa in accordance with the Victorian Building Authority (VBA) guidelines and have checked that a building permit was not required for these works. (Required)

Yes

What has been Removed? (Required)

Name of owner of land (the property on which the swimming pool/spa has been decommissioned/removed) *

Customer

Name

Title

Surname / Company

Given

Contact Details

Residential address

Street address

Street address 2

Street address 3

Postcode

Postal address if different from residential

Street address

Street address 2

Street address 3

Postcode

Work

Home Phone

Mobile

Fax

Contact By

Fax

Letter

Not required

Telephone

Property details where the pool/spa has been decommissioned/removed *

Enter House Number, Street Name and Suburb. Click on search and select the property

Building

Unit Number

Level Number

House Number

Street Name (without type)

Suburb

Title Type

Title 1

Title 2

Title 3

Title 4

Title 5

Title 6

Was your pool/spa registered with Council? (Required)

Yes

The swimming pool or spa listed at the property no longer exists and has been removed from the property. (Required)

Yes

The swimming pool or spa listed at the property has been decommissioned and is no longer capable of holding 300mm of water (Required)

Yes

Please provide the method used to decommission the pool or spa: (Required)

Please attach photo evidence which is Mandatory. Additional supporting documents (eg. Contractor invoices, permits, certificates) are optional. *

Browse for an attachment to link to this call.

If I am not the owner of the property, the owner has given permission for me to lodge on their behalf. (Required)

Yes

I declare that all the information in this application is true and correct (Required)

Yes

I acknowledge that any future installation of a swimming pool/spa and associated safety barriers, requires a new building permit, registration and submission of a Certificate of Pool and Spa Barrier Compliance. (Required)

Yes

I understand that Council may conduct an inspection to verify/assess the contents of this submission. (Required)

Yes

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