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Owners Consent · 51992.532.01

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To Suncoast Building Approvals

Phone: 07 5443 7288

Facsimile 07 5443 8816 .
e-mail: [email protected] t
PO Box 1054

MAROOCHYDORE QLD 4558

 

OWNERS CONSENT TO LODGING DEVELOPMENT
APPLICATION FORMS

PROPERTY DESCRIPTION:

‘ - Quz 4665
Site Address: /1 A wus OTKEeT, Cestoy ,
Loto 3 PanNo AP S40 Ge

To Whom It May Concern:
The registered owners of the above site consents to the applicant or the engaged private building certifier submitting any
development approvals including plumbing for the property as noted above in order to receive a permit to build on the said

property and have signed below.

It is also agreed by the owner to give authority for an agent from the engaged private certifier to lodge and sign any council
or state government forms necessary for submission for and on our behalf in order to obtain development approvals.

The owners also consent for water, sewerage and other utility providers to access the property for connections and quotation
purposes.

REGISTERED OWNER’S AS PER DEPT. NATURAL RESOURCES RECORDS

Name:. AG :

Signature:.. 4G.

    
 
 

NOTE: PLEASE USE BLOCK LETTERS WHEN COMPLETING THIS FORM
Full text of the other 2 pages

Page 2

ep Queensland

Government

 

Department of Housing and Public Works

Form 15—Compliance certificate
for building design or
specification

Version 4 — July 2017

 

NOTE: This is to be used for the purposes of section 10 of the Building Act 1975 and/or section 46 of the

Building Regulation 2006.

RESTRICTION: A building certifier (class B) can only give a compliance certificate about whether building work
complies with the BCA or a provision of the Queensland Development Code (QDC). A building certifier (Class B)
can not give a certificate regarding QDC boundary clearance and site cover provisions.

 

+.Property description

This section need only be
completed if details of street
address and property description
are applicable.

E.g. in the case of
(standard/generic) pool design/shell
manufacture and/or patio and
carport systems this section may
not be applicable.

The description must identify all
land the subject of the application.

The lot and plan details (e.g.
SP/RP) are shown on title
documents or a rates notice.

if the plan is not registered by title,

provide previous lot and plan
details.

2.Description of
component/s certified

Clearly describe the extent of work

covered by this certificate, e.g. all

structural aspects of the steel roof
beams.

Street address (include no., street, suburb/locality and postcode)

 

EL. BALK YL SI ASE.

 

 

CSERST Postcode #9-G3

 

Lot and plan details (attach list if necessary)

In which local government area is the land situated?

her 5 RP 84a 262

 

 

 

Nocsé Simao Ceosscic

 

 

Stratco (Australia) Pty. Ltd. standard Outback® units in compliance with Stratco

 

Outback” Verandahs, Patios, Carports & Pergolas Span Table Book (©2017)

 

 

All structural components detailed in the reference documents listed in Section 4

 

 

 

 

 

3.Basis of certification

Detail the basis for giving the
certificate and the extent to which
tests, specifications, rules,

standards, codes of practice and other
publications, were relied upon.

 

Load capacity tables and structural calculations undertaken in accordance with

 

the relevant Australian Standards:- AS/NZS 1170.0, .1, .2, AS/NZS 4600,

 

AS 1562.1, AS 3600, and AS 4100

 

 

Roof cladding tested for compliance with the Low-High-Low test requirements for

 

Cyclonic applications as specified in the National Construction Code of Australia

 

(Volume 1, Specification B1.2 Design of Buildings in Cyclonic Areas)

 

 

4.Reference documentation
Clearly identify any relevant
documentation, e.g. numbered
structural engineering plans.

 

Stratco Outback®™ Verandahs, Patios, Carports & Pergolas

 

Outback® Span Table Book (©August 2017)

 

 

 

 

 

 

(Note:- Fyfe Ref No: 50099-3)

 

 

 

 

LOCAL GOVERNMENT USE ONLY
Date received

Reference Number/s

Page 3

5.Building certifier reference
number

Building certifier reference number

 

 

 

 

6.Competent person details
A competent person for building work,
means a person who is assessed by
the building certifier for the work as
competent to practice in an aspect of
the building and specification design,
of the building work because of the
individual's skill, experience and
qualifications in the aspect. The
competent person must also be
registered or licensed under a law
applying in the State to practice the
aspect.

If no relevant law requires the
individual to be licensed or registered
to be able to give the help, the certifier
must assess the individual as having
appropriate experience, qualifications
or skills to be able to give the help.

If the chief executive issues any
guidelines for assessing a competent
person, the building certifier must use
the guidelines when assessing the
person.

7.Signature of competent
person
This certificate must be signed by the

individual assessed by the building
certifier as competent.

 

Name (in full)
| Trevor George John

 

Company name (if applicable)

Contact person

 

 

 

Fyfe Pty Ltd Trevor John
Phone no. (business hours) Mobile no. Fax no.
[ 08 8407 9444 | | 0408 226 343 |

 

Email address
[ trevor [email protected]

 

Postal address

 

Level 1, 124 South Terrace

 

Adelaide, SA

Postcode 5000

 

Licence or registration number (if applicable)

 

RPEQ 3664

 

 

Signature

Date

 

 

31/08/2017

 

 

 

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

 

 

 

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