Attach_1-Certification+Plan

                                                            Department of Housing and Public Works

                                                            Form 16—Inspection
                                                            Certificate/Aspect Certificate/QBCC
                                                            Licensee Aspect Certificate Version 5 – July 2017
 NOTE: This form is to be used for the purposes of section 10(c) and 239 of the Building Act 1975 and/or sections
 32, 35B, 43, 44 and 47 of the Building Regulation 2006.
 1. Indicate the type of
 certificate                               Inspection Certificate for
 The stages of assessable building
 work are listed in section 24 of the
 Building Regulation 2006 or as                        Stage of building work (for single detached class 1a or class 10 building or
 conditioned by the building certifier.                structure)
 An aspect of building work is part of                 (indicate the stage)
 a stage (e.g. waterproofing).
                                                                ________________________________________
                                                       Aspect of building work
                                                       (indicate the aspect)    Surveying ____________________



                                                     QBCC Licensee Aspect Certificate
                                           Scope of the work
                                           Scope of the work covered by the licence class under the Queensland Building and Construction
                                           Commission Regulation 2003 for the aspect being certified, e.g. scope of work for a
                                           waterproofing licence is “installing waterproofing materials or systems for preventing moisture
                                           penetration”. An aspect being certified may include “wet area sealing to showers”.




 2. Property description                   Street address (include no., street, suburb/locality and postcode)
 The description must identify all          111 Gympie Terrace
 land the subject of the application.
 The lot and plan details (e.g.             Noosaville                                                     Postcode 4566
 SP/RP) are shown on title
 documents or a rates notice.              Lot and plan details (attach list if necessary)
 If the plan is not registered by title,    Lot 6 on RP79817
 provide previous lot and plan details.
                                           In which local government area is the land situated?
                                            Noosa Shire Council

 3. Building/structure                     Building/structure description                                Class of building/structure
 description                                Duplex




LOCAL GOVERNMENT USE ONLY
          DATE RECEIVED                                                        REFERENCE NUMBER/S