180373 - DA Form 2 · OPW18/0304

Name(s) (individual or company full     Scott and Anna Guildford
name)
Contact name (applicable for
companies)
Postal address (P.O. Box or street      107 The Avenue
address)
Suburb                                  Peregian Springs
State                                   QLD
Postcode                                4573
Contact number                          0400 733 607
Email address (non-mandatory)           [email protected]
Mobile number (non-mandatory)
Fax number (non-mandatory)

15) Builder’s details
☐Tick if a builder has not yet been engaged to undertake the work and proceed to 16). Otherwise provide
the following information.
Name(s) (individual or company full Mark Bain Constructions
name)
Contact name (applicable for          Paul Tilbury
companies)
QBCC licence or owner –               59274
builder number
Postal address (P.O. Box or           15 Ross Crescent
street address)
Suburb                                Sunshine Beach
State                                 QLD
Postcode                              4567
Contact number                        07 54474443
Email address (non-mandatory)         [email protected]
Mobile number (non-                   0417 651172
mandatory)
Fax number (non-mandatory)

16) Provide details about the proposed building work
a) What type of approval is being sought?
☑ Development permit
☐ Preliminary approval
b) What is the level of assessment?
☑ Code assessment
☐ Impact assessment (requires public notification)
c) Nature of the proposed building work (tick all applicable boxes)
☑ New building or structure                                                ☐ Repairs, alterations or additions
☐ Change of building classification (involving building work)              ☐ Swimming pool and/or pool fence
☐ Demolition                                                               ☐ Relocation or removal
d) Provide a description of the work below or in an attached schedule.
2 storey Dwelling

e) Proposed construction materials
                                        ☐ Double brick             ☐ Steel                         ☐ Curtain glass
External walls
                                        ☑ Brick veneer             ☐ Timber                        ☐ Aluminium


                                                                                                                        Page 4
                                                                                     DA Form 2 – Development Application details
                                                                                                   Version 1.1— 22 JUNE 2018