MCU14/0082 - Cover letter and IDAS Forms

   Question 12
   • The portable long service leave levy need not be paid when the application is made, but the Building and
      Construction tndustry (Portable Long Service Leave) Act 1991 requires the levy to be paid before a development
     permit is issued.
   • Building and construction industry notification and payment forms are available from any Queensland post office or
     agency, on request from QLeave, or can be completed on the QLeave website at www.qleave.qld.gov.au.        For
     further information contact QLeave on 1800803481 or visit www.qleave.qld.gov.au.


   Privacy-The    information collected in this form will be used by the Department of State Development, Infrastructure
   and Planning (DSDIP), assessment manager, referral agency andlor building certifier in accordance with the
   processing and assessment of your application. Your personai details should not be disclosed for a purpose outside of
   the IDAS process or the provisions about public access to planning and development information in the Sustainable
   Planning Act 2009, except where required by legislation (including the Right to Information Acf 2009) or as required by
   Parliament. This information may be stored in relevant databases. The information collected will be retained as
   required by the Public Records Act 2002.



   OFFICE USE ONLY

    Date received         ____________                                    1   Reference numbers

   NOTIFICATION          OF ENGAGEMENT                 OF A PRIVATE CERTIFIER

    To                                                                        Council. I have been engaged as the private certifier for the
                                                                              building work referred to in this application
             ---------------- I
                                                                                            BSA Certification license          Building
    Date of engagement                   Name
                                                                                            number                             classificationls




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

                                                                                                             Date receipted
                                                                                                                                 Name of officer
                                                QLeave project            Amount paid                        form sighted by
   I Description of the work                    number                    ($)
                                                                                                Date paid
                                                                                                             assessment
                                                                                                                                 who sighted the
                                                                                                                                 form
                                                                                                             manaaer




   The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and
   Planning. This form and all other required application materials should be sent to your assessment manager and any
   referral agency.




Department of State Development,          Infrastructure   and Planning
PO Box 15009 City East Old 4002
lei 13 OGOV (13 74 68)
[email protected]                                                                                                IDAS form 1-Application delails
                                                                                                                            Version 4.1-4 July 2014
www.dsdip.qld.gov.au