Council archive · source document
QLeave_S182795 · OPW19/0097
Attached to the e-mail Operational Works Application OPW19/0097 - DA Form 1 - Plans - 37 Witta Circle, Noosa Heads.
Notification and Payment Confirmation
This form is issued in accordance with the Building and Construction Industry (Portable Long Service Leave) Act 1991 s77(2). Form BCI
14v0.
BUILDING AND CONSTRUCTION WORK DETAILS
QLeave levy number: S182795 Date notified: 23 Jan 2019
Building and construction work description: DWELLING - LOWSET & HIGHSET
Lot no.: 107 Plan no.: SP 145420
Building and construction work address: 37 WITTA CIR
Suburb: NOOSA HEADS Postcode: 4567
Total cost of work (GST exclusive): $4,090,909.00
Total levy paid: $19,432.00
Exempted cost of work (GST exclusive): $0.00
Start date: 29 Jan 2019 Finish date: 28 Aug 2020
Council: NOOSA SHIRE COUNCIL
Certifier: PACIFIC BCQ
Owner: LSF MARSH PTY LTD ATF LSF MARSH FAMILY TRUST
Principal contractor: JW CONSTRUCTIONS (QLD) PTY LTD
QLeave has issued this form to confirm that notification and payment has been received.
Under s.77 of the Building and Construction Industry (Portable Long Service Leave) Act
1991, all obligations have been met.
Your Assessment Manager (Local Government or Private Certifier - Class A) will require a copy of this form prior to the issue of a
development/building permit.
CONTACT QLEAVE
Unit 1 62 Crockford St, Northgate Q 4013 | PO Box 315, Virginia BC Q 4014
Freecall 1800 803 481 | Email [email protected] | Web www.qleave.qld.gov.au
BUILDING AND CONSTRUCTION WORK COMPLETED
When your building and construction work reaches practical completion, you will be required to submit your final costs and completion date
to QLeave. To provide QLeave with these details please complete the building and construction work completed form available at
www.qleave.qld.gov.au and send it to [email protected]
PAID
Receipt number Date paid Amount paid
90599641289 23 Jan 2019 4:01:02 PM $19,432.00
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Page 2
Payer details
Entity type
Entity type
Registered company / partnership
Payer details
Qleave customer number (if known)
066471
Australian Business Number *
58 109 140 150
Entity name
JW CONSTRUCTIONS (QLD) PTY LTD
Business trading name
JW CONSTRUCTIONS (QLD)
Entity Description
Australian Private Company
Contact details
Contact person *
JASON WARREN
Contact person phone number (including area code) *
0403663063
Contact person e-mail address
[email protected]
Postal address
Address line 1 *
PO BOX 178
Address line 2
Suburb * State * Postcode *
PEREGIAN BEACH QLD 4573
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Page 3
Building and construction work details
Building and construction work details
Description of work
DWELLING - LOWSET & HIGHSET
Type of work *
HOUSING
Estimated start date * Estimated finish date *
29 Jan 2019 28 Aug 2020
Project owner
Select if project owner details are the same as payer details
Project owner *
LSF MARSH PTY LTD ATF LSF MARSH FAMILY TRUST
Contact person
CRAIG MARSH
Contact phone number
0407241093
Contact email address
[email protected]
Building and construction work address
Lot number Plan number
107 SP 145420
Local council *
NOOSA SHIRE COUNCIL
Building and construction work address line 1 *
37 WITTA CIR
Suburb * State * Postcode *
NOOSA HEADS QLD 4567
Assessment manager (building certifier - private or local council)
Has an assessment manager (building certifier - private or local council) been appointed? *
Yes No
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Page 4
Name *
PACIFIC BCQ
Phone number (including area code)
0754121520
Contact e-mail
[email protected]
Principal contractor details
Has a principal contractor been appointed? *
If a Principal Contractor has been appointed it is a requirement under the Work Health and Safety Regulation 2011 s(293) to advise who
the Principal Contractor is.
For more information please visit www.worksafe.qld.gov.au - Principal Contractors.
Yes No
Select if the principal contractor details are the same as the payer details.
Cost of work
Cost of work
Total cost of work in whole dollars only (excluding GST) *
$4,090,909.00
Exemption category
Leviable cost of work
$4,090,909.00
Amount payable
Portable Long Service Leave Levy
$10,227.45
Construction Skills Queensland Levy
$4,090.91
Work Health and Safety Levy
$5,113.64
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Page 5
Total levy payable
$19,432.00
Process submission
Declaration
• I certify that the information provided is true, correct and complete to the best of my knowledge and belief, knowing it is an
offence to provide false or misleading information.*
• I agree that this declaration is to be used within the meaning of the Electronics Transactions (Queensland) Act 2001 as an
electronic communication containing my signature for the purpose of that Act.*
Amount due
$19,432.00
Please select a payment option *
Credit/Debit Card Paying online is safe and easy with our secure Credit/Debit Card facility. Confirmation of
notification and payment will be issued immediately upon payment.The following cards are
accepted:
Other payment options
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