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FOrm 15 - 61 Shorehaven Dr, Noosaville · MCU26/0068
Form 15 Compliance certificate for building design or specification
This form is to be used by an appointed competent person for the purposes of section 10 of the Building Act 1975 and sections
73 and 77 of the Building Regulation 2021 (Design-specification certificate) stating that an aspect of building work or
specification will, if installed or carried out as stated in this form, comply with the building assessment provisions.
Additional explanatory information is included in the Appendix at the end of this form.
1. Property description
This section need only be completed if details of street address and property description are applicable.
E.g. in the case of (standard/generic) pool design/shell manufacture and/or patio and carport systems this section may not be
applicable.
The description must identify all land the subject of the application.
The lot and plan details (e.g. SP/RP) are shown on title documents or a rates notice.
If the plan is not registered by title, provide previous lot and plan details.
Street address 61 SHOREHAVEN DRIVE, NOOSAVILLE, SUNSHINE COAST
Suburb/locality NOOSAVILLE
State QLD Postcode
Lot and plan details (attach list if necessary)
Lot 455 on RP868304
Local government area the land is situated in
Noosa Shire Council
2. Description of aspect/s certified
Clearly describe the extent of work covered by this certificate, e.g. all structural aspects of the steel roof beams.
EXISTNG RESIDENCE
NEW ALUMINIUM FRAMED TIMBER JETTY with PILES
3. Basis of certification
Detail the basis for giving the certificate and the extent to which tests, specifications, rules, standards, codes of practice and
other publications were relied upon.
STRUCTURAL ENGINEERING DESIGN DETAILS AND SPECIFICATIONS
AS PER STRUCTURAL DRAWINGS OR REPORT NOTED IN ITEM 4.
4. Reference documentation
Clearly identify any relevant documentation, e.g. numbered structural engineering plans.
Building
Document Regulation
Set ID: 249942512021 • Section 73 and 77 • Form 15 • Version 1 • September 2021 Page 1 of 2
Version: 1, Version Date: 17/07/2026
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STRUCTURAL ENGINEERING
DESIGN DRAWINGS NUMBERED: D – MS – 70283 – 01 to 06
5. Building certifier reference number and building development approval number
Building development
Building certifier reference
application number (if
number
available)
6. Appointed competent person details
Under Part 6 of the Building Regulation a person must be assessed as a competent for the type of work (design-specification)
by the relevant building certifier.
Name (in full) MARK WICHLINSKI
Company name (if applicable) MARK WICHLINSKI CONSULTING ENGINEERS PTY. LTD.
Contact person MARK WICHLINSKI
Business phone number (0412) 115002 Mobile (0412) 115002
Email address [email protected]
Postal address PO Box 6297 GOLD COAST MAIL CENTRE
Suburb/locality BUNDAL
Postcode
State QLD
Q9726
Licence class or registration
RPEQ
type (if applicable)
Licence or registration number
RPEQ No. 1643
(if applicable)
9. Signature of appointed competent person
This certificate must be signed by the individual assessed and appointed by the building certifier as competent to give design-
specification help.
Signature Date 19/06/2026
LOCAL GOVERNMENT USE ONLY
Date received Click or tap to enter a date. Reference number/s
Building
Document Regulation
Set ID: 249942512021 • Section 73 and 77 • Form 15 • Version 1 • September 2021 Page 2 of 2
Version: 1, Version Date: 17/07/2026
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