Amended DA Form 2

 g) New building use/classification? (if applicable)
 N/A
 h) Relevant plans
 Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide:
       Relevant plans.
     Relevant plans of the proposed works are attached to the development application

 17) What is the monetary value of the proposed building work?
 $

 18) Has Queensland Home Warranty Scheme Insurance been paid?
    Yes – provide details below
    No
 Amount paid                    Date paid (dd/mm/yy)                                        Reference number
 $


PART 6 – CHECKLIST AND APPLICANT DECLARATION

 19) Development application checklist
 The relevant parts of Form 2 – Building work details have been completed                                         Yes
 This development application includes a material change of use, reconfiguring a lot or                           Yes
 operational work and is accompanied by a completed Form 1 – Development
 application details                                                                                              Not applicable

 Relevant plans of the development are attached to this development application
 Note: Relevant plans are required to be submitted for all aspects of this development application. For further   Yes
 information, see DA Forms Guide: Relevant plans.
 The portable long service leave levy for QLeave has been paid, or will be paid before                            Yes
 a development permit is issued (see 9)                                                                           Not applicable


 20) Applicant declaration
     By making this development application, I declare that all information in this development application is true and
     correct
     Where an email address is provided in Part 1 of this form, I consent to receive future electronic communications
     from the assessment manager and any referral agency for the development application where written
     information is required or permitted pursuant to sections 11 and 12 of the Electronic Transactions Act 2001
 Note: It is unlawful to intentionally provide false or misleading information.
 Privacy – Personal information collected in this form will be used by the assessment manager and/or chosen
 assessment manager, any referral agency and/or building certifier (including any professional advisers which may
 be engaged by those entities) while processing, assessing and deciding the development application.
 All information relating to this development application may be available for inspection and purchase, and/or
 published on the assessment manager’s and/or referral agency’s website.
 Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning Regulation
 2017 and the DA Rules except where:
  such disclosure is in accordance with the provisions about public access to documents contained in the Planning
      Act 2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 and
      Planning Regulation 2017; or
  required by other legislation (including the Right to Information Act 2009); or
  otherwise required by law.
 This information may be stored in relevant databases. The information collected will be retained as required by the
 Public Records Act 2002.




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                                                                                                                  DA Form 2 – Building work details
                                                                                                                    Version 1.2— 7 February 2020