Development Application part 1 · OPW13/0675

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        Question 12
           The portable long service leave levy need not be paid when the application is made, but the Building and
           Construction Industry (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 and/or building certifier in accordance with the
        processing and assessment of your application. Your personal 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 Act 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                                             I Reference numbers
        NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER


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

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




        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
         Description of the work             number
                                                                                         Date paid                         who sighted the
                                                                   ($)                                 assessment
                                                                                                                           form
                                                                                                       manager




        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
tel 13 OGOV (137468)
[email protected]                                                                                           IDAS form 1-Application details
                                                                                                                        Version 3.0-1 July 2013
www.dsdip.qld.gov.au