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10AK QLEAVE S204184 copy

Attached to the e-mail 23-8-21 FW OPW Application Landscaping Road Reserve - 10 Arakoon Crescent Sunshine Beach (2).msg.

of 5

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 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: S204184                                            Date notified: 02 Oct 2019

Building and construction work description: DWELLING - LOWSET & HIGHSET

Lot no.: 787                                                           Plan no.: 48111

Building and construction work address: 10 ARAKOON CRESCENT

Suburb: SUNSHINE BEACH                                                 Postcode: 4567

Total cost of work (GST exclusive): $2,097,877.00

Total levy paid: $9,965.00

Exempted cost of work (GST exclusive): $0.00

Start date: 02 Oct 2019                                                Finish date: 31 Aug 2020

Council: NOOSA SHIRE COUNCIL

Certifier: PURE BUILDING APPROVALS

Owner: VIRGINIA SCOTT

Principal contractor: MENZIE DESIGNER HOMES 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

97396918378                         02 Oct 2019 9:02:11 AM             $9,965.00




                                                                                                                              Page 1 of 5
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Page 2

Payer details

Entity type
Entity type

Registered company / partnership




Payer details
Qleave customer number (if known)

087195


Australian Business Number *

38 169 686 944


Entity name

MENZIE DESIGNER HOMES PTY LTD


Business trading name




Entity Description

Australian Private Company


Contact details
Contact person *

GARY MENZIE


Contact person phone number (including area code) *

0418118725


Contact person e-mail address

[email protected]


Postal address
Address line 1 *

14 FOUNTAIN RD


Address line 2




Suburb *                State *         Postcode *

BUDERIM                 QLD              4556




                                                      Page 2 of 5

Page 3

Building and construction work details

Building and construction work details
Description of work

DWELLING - LOWSET & HIGHSET


Type of work *

HOUSING


Your internal job reference number (if applicable)

10AK


Estimated start date *              Estimated finish date *

02 Oct 2019                         31 Aug 2020


Project owner

    Select if project owner details are the same as payer details

Project owner *

VIRGINIA SCOTT


Contact person




Contact phone number

0418118725


Contact email address

[email protected]


Building and construction work address
Lot number            Plan number

787                   48111


Local council *

NOOSA SHIRE COUNCIL


Building and construction work address line 1 *

10 ARAKOON CRESCENT


Suburb *                 State *           Postcode *

SUNSHINE BEACH           QLD                4567




Assessment manager (building certifier - private or local council)


                                                                     Page 3 of 5

Page 4

Has an assessment manager (building certifier - private or local council) been appointed? *

  Yes                                                                      No


Name *

PURE BUILDING APPROVALS


Phone number (including area code)

0754510579


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) *


$2,097,877.00


Exemption category




Leviable cost of work

$2,097,877.00


Amount payable
Portable Long Service Leave Levy

$5,244.77


Construction Skills Queensland Levy

$2,097.88




                                                                                                                         Page 4 of 5

Page 5

 Work Health and Safety Levy

  $2,622.35


 Total levy payable

  $9,965.00




 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

$9,965.00


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




                                                                                                                             Page 5 of 5

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