Application for Operational Works - W & S - OPW14/0145 (see REC12/0014)

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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 1800 803481 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       ____________                                    1   Reference numbers

     NOTIFICATION        OF ENGAGEMENT                 OF A PRIVATE CERTIFIER

      To                                                                      Council. I have been engaged as the private certifier for the

               ---------------- I
                                                                              building work referred to in this application

                                                                                            BSA Certification license          Building
      Date of engagement                 Name
                                                                                            number                             c1assification/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
                                                                                                             manaaer




     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
 tol13 OGOV (13 74 68)
 [email protected]                                                                                               IDAS form 1-Application details
                                                                                                                            Version 3.0-1 July 2013
 www.dsdip.qld.gov.au