OPW14/0170 - Application for Operational Works - Private Jetty - 31 Waterside Crt, Noosaville

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        Question 12
        • The portable long service leave levy need not be paid when the application is made, but the Building and
          Construction Industry (Portable Long Service Leave) Act 1991 requires the levy to be paid before a development
          permit is issued.
        • Building and construction industry notification and payment forms are available from any Queensland post office or
          agency, on request from QLeave, or can be completed on the QLeave website at www.qleave.qld.gov.au. For
          further information contact QLeave on 1800803481 or visit www.qleave.qld.gov.au.


        Privacy-The    information collected in this form will be used by the Department of State Development, Infrastructure
        and Planning (DSDIP), assessment manager, referral agency andlor building certifier in accordance with the
        processing and assessment of your application. Your personal details should not be disclosed for a purpose outside of
        the IDAS process or the provisions about public access to planning and development information in the Sustainable
        Planning Act 2009, except where required by legislation (including the Right to Inlormation Act 2009) or as required by
        Parliament. This information may be stored in relevant databases. The information collected will be retained as
        required by the Public Records Act 2002.


        OFFICE USE ONLY

          Date received       ____________                           1   Reference numbers

        NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

         To                                                              Council. I have been engaged as the private certifier for the

                 ---------------- I
                                                                         building work referred to in this application

                                                                                       BSA Certification license          Building
         Date of engagement                  Name
                                                                                       number                             classificationls




        QLEAVE NOTIFICATION AND PAYMENT (For completion                         by assessment     manager or private certifier     If
        applicable.)

                                                                                                        Date receipted
                                                                                                                            Name of officer
                                                    QLeave project   Amount paid                        form sighted by
         Description of the work                                                           Date paid                        who sighted the
                                                    number           ($)                                assessment
                                                                                                                            form
                                                                                                        manaoer




        The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and
        Planning. This form and all other required application materials should be sent to your assessment manager and any
        referral agency.




     Department of State Development, Infrastructure and PlannIng
     PO Box 15009 City East Old 4002
     '0113 QGOV (13 74 68)
     [email protected]                                                                                      IDASfu~I-Aw~aoonoom~
                                                                                                                       Version 3.0-1    July 2013
     www.dsdlp.qld.gov.au