Form 15 compliance certificate

4. Reference documentation
Clearly identify any relevant documentation, e.g.      Legacy Lighting Noosa District Netball Club 12/11/2020 page 1 of 2
numbered structural engineering plans.
                                                       Legacy Lighting Noosa District Netball Club 12/11/2020 page 2 of 2




5. Building certifier reference number                Building certifier reference number



6. Competent person details                           Name (in full)
A competent person for building work, means a
person who is assessed by the building certifier       Craig Smith
for the work as competent to practise in an
                                                      Company name (if applicable)                       Contact person
aspect of the building and specification design,
of the building work because of the individual’s       Electrical Design Group                              Cameron Miller
skill, experience and qualifications in the aspect.
The competent person must also be registered           (Brisbane) Pty Ltd                                   (Project Manager)
or licensed under a law applying in the State to
practice the aspect.                                  Phone no. business hours              Mobile no.                 Fax no.
If no relevant law requires the individual to be       (07) 3278 4375                        0418 893 338
licensed or registered to be able to give the help,   Email address
the certifier must assess the individual as having
appropriate experience, qualifications or skills to    [email protected]
be able to give the help.
                                                      Postal address
If the chief executive issues any guidelines for
assessing a competent person, the building             PO Box 15
certifier must use the guidelines when assessing
the person.
                                                       Sherwood QLD                                                     Postcode 4075
                                                      Licence or registration number (if applicable)
                                                       RPEQ 16022
7. Signature of competent person                      Signature                                                 Date
This certificate must be signed by the individual
assessed by the building certifier as competent.
                                                                                                                    19 November 2020


   The Building Act 1975 is administered by the Department of Housing and Public Works