FOrm 15 - 61 Shorehaven Dr, Noosaville · MCU26/0068

                                             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