Reversion application form

Building Control Contact Details - Building Control Division, P.O. Box 17 , Corporation Street, Blackpool FY1 1LZ, Telephone 01253 476219, Email building.control@blackpool.gov.uk
This form is to be filled in by the property owner or their agent. For further information please speak to Building Control. For help on completing this form, please phone the office on 01253 476219.
1. Your Details
Person Applying, please enter your details in this section.
Name

First name

Last name

Please enter the Name of the person applying.
Address

Address Line 1

Address Line 2

City

County

Postcode

Country

Please enter the address details of the person applying.
Telephone Number

Please enter telephone number of person applying
Email

Please enter the email address of the person applying or agents if you are using one.
Agent / Builder / None

Please select if you have Agent or Builder working on your behalf.

3. Location of Building to which the work relates
Address

Address Line 1

Address Line 2

City

County

Postcode

Country

Please enter the location / site address of where the building works are
4. Work Carried out
Description of work carried out

Please enter a description fo the works at the site
5. Date work commenced
If not known give an approximate date

Please provide a commence date of the work or an approximate date
6. Use of the Building
What is the building used for?

Please enter the proposed use of the building
What was the previous use?

Please enter the current use of the building
7. Fee
To be agreed prior to susmission - please contact 01253 476219
Agreed fee enclosed £

Please enter the fee agreed with Building Control
Upload

Please upload any relevant files to support your application. If more than 4 please send additional files directly to building.control@blackpool.gov.uk
Upload

Please upload any relevant files to support your application.
Upload

Please upload any relevant files to support your application.
Upload

Please upload any relevant files to support your application.
8. Statement
This notice is given in relation tot he work described, is submitted in accordance with Regulation 19 of The Building (Approved Inspectors etc) Regulations 2010, and is accompanied by the appropriate charge (and plans where applicable). I understand that the local authority may require me to make such reasonable steps (e.g. opening up of work for inspection, making tests and taking samples as appropriate, to establish compliance or otherwise.
I acknowledge and agree to the statement above and that the details I have submitted are correct.
Date

Please enter the date you completed the form

Reversion application form

Additional information