Roof Plumbing Compliance Certificate

Certificate Number: [CERTIFICATE_NUMBER]

1. Property Details

Property Owner Name: [OWNER_FULL_NAME] Property Address: [STREET_NUMBER] [STREET_NAME], [SUBURB], [STATE] [POSTCODE] Lot/DP Number (if applicable): [LOT_NUMBER]

2. Work Details

Date Work Commenced: [START_DATE] Date Work Completed: [COMPLETION_DATE]

Description of Roof Plumbing Work: [INSERT DETAILED DESCRIPTION OF WORK, E.G., REPLACEMENT OF ROOF COVERING, INSTALLATION OF GUTTERS, DOWNPIPES, RAINWATER HEADS, OVERFLOW GULLIES. LIST SPECIFIC MATERIALS USED AND AREAS COVERED.]

Compliance Standards: This work complies with:

• Plumbing Code of Australia (PCA)
• AS/NZS 3500.3 (Roof and Surface Water Drainage)
• [STATE] Plumbing Regulations [YEAR]

3. Licensed Practitioner Declaration

License Holder Name: [TRADIE_FULL_NAME] License Number: [LICENSE_NUMBER] Business Name: [BUSINESS_NAME] Business Address: [BUSINESS_ADDRESS] Business Phone: [BUSINESS_PHONE] Business Email: [BUSINESS_EMAIL]

Declaration: I, [TRADIE_FULL_NAME], certify that:

1. I am the holder of License Number [LICENSE_NUMBER].
2. The roof plumbing work described above was carried out by me or under my direct supervision.
3. The work has been tested and complies with all relevant Australian Standards and the Plumbing Code of Australia.
4. The work is ready for use and does not constitute a risk to health or safety.
5. All insurance requirements (including public liability) have been met.

Licensee Signature: __________________________ Date: [DATE_OF_SIGNATURE]

4. Property Owner Acknowledgement

I acknowledge that I have received a copy of this compliance certificate.

Owner Signature: __________________________ Date: [DATE_OF_SIGNATURE]