OPW14/0262 - Application for Proposed Jetty - 29 Waterside Crt, Noosaville

     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 SeNice 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 PubHc 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
      Description of the work                                                                         Date paid                           who sighted the
                                                     number                     ($)                                   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
10113 OGOV (13 74 68)
Info@!dsdio.ald,gov,au                                                                                                        IDAS form 1-Application details
                                                                                                                                      Version 3.0-1 July 2013
'ItVWW.dsdlp. ql d. gOY. au