08/1193 - Operational Works - Access, Car Parking [As Published] · 142008.1193

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INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

  
  

aan eined

1f incluclig infostiaton regi

   

_ Attachments and’Supporting, inforination’(Commpite Table !~ Use a separate row for eath type of aitactimeiit or

     

 

{his Par). Plaase ensure a documentation submited with tis fr Inlucing other Pats of Ft, oF owner's Consent, 6, are securdlyatacied to tis Prt of tho Form, =
Tabter | ‘Description of attachment or information Title ( applicable) . " Method of delivery fo
(08 CORO TOTEIONEN, Se ta ere? | (eg General Author, Janes SBeet Tre Rept) Date assessment manager

 

WAL

 

 

 

 

 

 

 

 

   

{Portable Long Service Leave (PLSL) levy (Appttabio for ceria bulthig and conshucton wart valled over SOB 00D) 8

Ve ed
10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: (box if appicable)
Li the application seeks a preliminary approval only; SAX
(1) the application is not for building and construction work under the Building and Construction Industry (Portable Long Service Leave)
Act 1991, section 3AA (e.g. the application is only for a change of use, or for the following types of work carried out solely for farming purposes:

land clearing, site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of regrowth, thinning vegetation or
controlling weeds or pests);

(all costs, that relate to the work both directly and indirectly, are less than $80,009, inclusive of GST:.or

(7 the work is being carried out under an owner-builder permit issued under the Queensi/and Building Services Authority Act 1991 -
Complete and submit a Qleave Notification and Payment Form (no payment required if owner-builder permit number stated). The receipted form must be sighted by the
assessment manager before a development permit can be given.

@ 1. verment of a PLSL levy applicable to this application? (Refer fo Q10 and the Advice below for more information}
No - End of Part A J Yes - Answer Q12 beow

12. Has the’PLSL levy been paid?

(0 - (NOTE: An application can be lodged prior to payment of the applicable PLSL fevy. However, the fevy must be paid and the receipted form sighted by the
Assessment Manager before a development permit may be given for this application. To pay the levy you will need to complete and submit a Notification
and Payment Form to QLeave.) .

O Yes - Complete Table L and submit, with the application, tie ‘yellow’ (Local Govemment's (Counci) / Private Certifier’s) copy of the receipted QLeave Form.

QLeave Project Number
(6 digits, starting witrA, B, E, L or PY

 

Table L - Amount paid | | Date paid

 

 

 

 

 

 

 

 

OFFICE USE ONLY (For use by the Assessment Manager / Private Certifier) (Optional)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fee ($) Date received ons e Reference
e@ NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER ;
To: Council. | have been engaged as the private certifier for the building work referred to in this application.
Date of engagement ; Name SA Certification license number Building classification/s

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)

 

Amount paid : Date receipted form ;
Description of the work QLeave Project Number $) p Date paid sighted by * Name of officer who sighted the form
: . assessment manager > oo

 

 

 

 

 

 

 

 

 

Privacy Statement

The information collected on Form 1 will be used by the Department of Infrastructure and Planning (DIP) in accordance with the processing and assessment of your Application.
Your personal details will not be disclosed for a purpose outside of the IDAS process, except where required by legistation (including the Freedom of information Act 1992) or
as required by Pariament. This information may be stored in a DIP database. The information collected will be retained as required by the Public Records Act 2002.

 

 

 

 

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