MCU14/0049 & OPW14/0276: IDAS form 1-5-6

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.gleave.qld.gov.au. For
further information contact QLeave on 1800 803 481 or visit www.qleave.qid.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 and/or 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 fo Information 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 Reference numbers

 

 

 

NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

 

To Council. | have been engaged as the private certifier for the
building work referred to in this application

 

 

 

 

BSA Certification license Building
Date of engagement | Name number classification/s

 

 

 

 

 

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

 

Date receipted
form sighted by
assessment
manager

Name of officer
who sighted the
form

QLeave project Amount paid

number (3) Date paid

Description of the work

 

 

 

 

 

 

 

 

 

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 Qld 4002

tel 13 QGOV (13 74 68)

[email protected] IDAS form 1—Application details
Si — 4 July 207

www-dsdip.qid.gov.au Version 3.0. July 2073