OPW15/0194 - Operational Works Application - 6 Hoop Pine Rd

 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 1800803481      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 andlor 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.



       "FICE 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                             classificationls




  QLEAVE NOTIFICATION                    AND PAYMENT (For completion                 by assessment    manager or private certifier      if
  applicable.)
                                                                                                            Date receipted
                                                                                                                                  Name of officer
                                                                         Amount paid                        form sighted by
  I 'Jescription of the work                   QLeave project
                                               number                    (5)
                                                                                               Date paid
                                                                                                            assessment
                                                                                                                                  who sighted the
                                                                                                                                  form
                                                                                                            manaoer




      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 Qld 4002
1.113 QGOV (13 74 68)
[email protected]                                                                                                   IDAS form I-Application details
                                                                                                                               Version 4.1-4 July 2014
www.dsdip.qld.gov.au