Section 39 Form

If you have any questions, or you have trouble with this form, please get in touch and we will be glad to assist you. You can email us at buildingconsultancy@acivicogroup.co.uk

Section 39 Form

1. SITE LOCATION
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Address of the person for whom the work is to be carried out
2. DESCRIPTION OF BUILDING TO BE DEMOLISHED
Extent of demolition to be indicated on block plan submitted with this Notice
(a) Number of persons to be accommodated
(b) Period for which structure is to remain erected
3. FULL NAME OF PERSON WHO IS TO ERECT THE STAND [CONTRACTOR]
Applicant's Code (if known)
Name*
First Last
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone
Fax Number
Email*

A preferred email address is essential in helping us contact you quickly and efficiently.
4. NAME AND ADDRESS OF PERSON SUBMITTING THIS NOTICE [IF DIFFERENT FROM (3)]
Agents Name
First Last
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone
Fax Number
Email

A preferred email address is essential in helping us contact you quickly and efficiently.
5. DESIGNER
Name
First Last
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone
Fax Number
6. ANTICIPATED START DATE
Date
MM slash DD slash YYYY
7. PLANNING INFORMATION
You may be required to submit a prior notification to decide if Planning permission or a license is required for your proposals.
Have you checked whether Planning permission is required for the proposed work(s)?
Does the proposal require Planning Permission, or prior notification?
- Yes
- No
If YES, has Planning Permission been granted?
- Yes
- No
PA ref. No.
Have you checked whether a Public Entertainment License is required for the proposal?
Does the proposal require a license?
- Yes
- No
If YES, has the license been given?
- Yes
- No
8. NAME OF OWNER/OCCUPIER OF ADJACENT BUILDING(S) ONLY.
Name
First Last
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
9. IN ACCORDANCE WITH THE REQUIREMENTS OF THE ACT PLEASE INDICATE BY TICKING BOXES. NOTIFICATION HAS BEEN SENT TO
Please tick (✓) where applicable
- Fire Authority
DECLARATION
I hereby deposit a Section 39 Notice in accordance with the requirements of the West Midlands County Council Act 1980. The submission of a Section 39 Notice requires the Local Authority to assess the submitted proposal. The assessment incurs a fee depending on the City Council’s involvement and will be based on the current hourly rate.
Name*
First Last
Please provide full contact details of where the invoice should be forwarded to:
Name
First Last
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone
Email
Date
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

ADDITIONAL NOTES

This Notice should be submitted no later than 5 weeks prior to the intended start date
Should no notice be received from the Local Authority on the expiry of 5 weeks from submission of this Notice, the work(s) shall be deemed to be approved.
The current hourly rate for a Section 39 application is £95.00.
This notice should be returned to:
Acivico (Building Consultancy) Ltd, Birmingham Accounts Team, PO Box 17212, Birmingham
Should you require assistance with regard to the completion of this Notice, please contact the Commercial Services Administration Team.
Acivico (Building Consultancy) Ltd, is a company which is wholly owned by Birmingham City Council. Company Registration No: 07918763
The information supplied on this form may be shared with relevant parties within Birmingham City Council along with organisations charged with detection and prevention of fraud.

CONTACT US

Please Contact Us

We will endeavour to respond to you within 2 working days

Section 39 Form

Section 39 Form

1. SITE LOCATION

2. DESCRIPTION OF BUILDING TO BE DEMOLISHED

3. FULL NAME OF PERSON WHO IS TO ERECT THE STAND [CONTRACTOR]

4. NAME AND ADDRESS OF PERSON SUBMITTING THIS NOTICE [IF DIFFERENT FROM (3)]

5. DESIGNER

6. ANTICIPATED START DATE

7. PLANNING INFORMATION

Have you checked whether Planning permission is required for the proposed work(s)?

Have you checked whether a Public Entertainment License is required for the proposal?

8. NAME OF OWNER/OCCUPIER OF ADJACENT BUILDING(S) ONLY.

9. IN ACCORDANCE WITH THE REQUIREMENTS OF THE ACT PLEASE INDICATE BY TICKING BOXES. NOTIFICATION HAS BEEN SENT TO

DECLARATION

Please provide full contact details of where the invoice should be forwarded to:

ADDITIONAL NOTES

CONTACT US

Please Contact Us