08/0745 - Operational Works - Landscaping [As Published] · 142008.745

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

FAttachments and supporting infortnation (Complete: Tabié = Use & separate rb fbresen lye of atschmeh

 

 

 

 

 

{ths Party Pleage ensure all doctonentation submited with this form, fclucingoltor Paxfs of Far. 4-0? owner's cofisent. fo this Part
Description of attachment or information “ . Rothow Sie
Table | * ° Title (if appicabte) . Method of delivery for
: taney ee an citenaa i esouce -| (0 Gonere autor, Street Traffe Report Date | __asiessment mahagert <5
1.

 

 

 

 

 

 

 

 

{Portable Long Service Leave [PLSL) levy (Applicable for cera buling and constuction Work valved over $60,000 nh) eng

 

10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: (> box if appicable)
LD the application seeks a preliminary approval only; :
(J 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);

CL all costs, that retate to the work both directly and indirectly, are less than $80,000, inclusive of GST;.or

(7 the work is being carried out under an owner-builder permit issued under the Queensland Building Services Authority Act 1991 -
@ Comptete 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. :

11. oer of a PLSL levy applicable to this application? (Refer to Q10 and the Advice below for more information)
No - End of Part A 71 Yes - Answer Q12 befow

12. Has the PLSL levy been paid?

oO No - (NOTE: An application can be lodged prior to payment of the applicable PLSL fevy. However, the levy must be paid and the recelpted 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.)

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

“ . - QLeave Project Number
Table L Amount paid - _ Datepaid (6 digits, starting with A, B, E, L or P)

 

 

 

 

 

 

 

 

 
    

 

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

 

 

 

 

 

 

 

 

 

 

@ Fee(8)} (550 — |Datereceived] 2eng Peri Ps gC _Ratecans 08/7 “us

 

NOTIFICATION OF ENGAGEMENT OF PRIVATE CERMMFIER

 

To: Council. | have been engaged as the private certifier for the building work referred to in this application.

 

 

 

 

Date of engagement | . Name BSA Certification license number Building classification/s

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

. Amount pald Date receipted form .
Description of the work QLeave Project Number 6) Date paid sighted by Name of officer who sighted the form
: : _. t assessment manager_ . 2
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 legislation (including the Freedom of Information Act 1 1992) or
as required by Parliament, 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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