IDAS Form 1 - 30-32 Doonella Street, Tewantin (00011167)

Question 12

¢ The portable long service leave levy need not be paid when the application is made, but the Buildiag and
Construction Industry (Portable Long Service Leave) Act 1997 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.qid.gov.au. For
further information contact QLeave on 1800 803 481 or visit www.qleave.qlid.gov.au.

Privacy—The information collected in this form will be used by the Department of State Development, Infrastructure
and Planning (DSDIP), assessiment nidtagel, teienai agency and/or vuiidiy Gerlifier 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

NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

 

To

 

 

 

Reference numbers

 

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

 

Date of engagement | Name

BSA Certification license Building

number

classification/s

 

 

 

 

applicable.)

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

 

QLeave project

Description of the work Ramiben

Amount paid
($)

Date paid

Date receipted

form sighted by Name of officer

t who sighted the
assessment
form
manager

 

 

 

 

 

 

|
|
. Ao

 

The Sustainable Planning Act 2009 is administered by the Department of State Development, Irfrastucture and
Planning. This form and all other required application materials should be sent to your assess:nent manager and any

referral agency.

Department of State Development, Infrastructure and Planning
PO Box 15009 City East Qtd 4002
tel 13 QGOV (13 74 68)

[email protected]

www.dsdip.qid.gov.au

IDAS form 4