OPW13/0937 Application for permit to damage vegetation 136 Gympie Terrace 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 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 to 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                                              I Reference numbers
       NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

        To
                                                                   I   Council. I 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
                                                                                                                           Name of officer
                                             QLeave project        Amount paid                         form sighted by
        Description of the work                                                          Date paid                         who sighted the
                                             number                ($)                                 assessment
                                                                                                                           form
                                                                                                       manaqer




       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
tel 13 OGOV (13 74 68)
    [email protected]                                                                                       IDAS form I-Application details
                                                                                                                        Version 3.0-1 July 2013
www.dsdip.qld.gov.au

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