QLEAVE Notification and Payment Confirmation for Levy S264440

                                                                        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.




Confirmation date: May 11, 2021



BUILDING AND CONSTRUCTION WORK DETAILS
QLeave levy number: S264440                                                     Date notified: May 11, 2021

Building and construction work description: DWELLING - LOWSET & HIGHSET

Lot no.: 14-Jan                                                                Plan no.: SP315575

Building and construction work address: 13 - 15 HILTON ESPLANADE

Suburb: TEWANTIN                                                                                              Postcode: 4565

Notified cost of work (GST exclusive): $ 2,711,584

Total levy paid:                               $ 15,592

Exempted cost of work (GST exclusive): $ 0

Start date: May 12, 2021                                                       Finish date: March 13, 2022

Council:

Certifier: PURE BUILDING APPROVALS

Owner: PETER & ROSEMARY TAYLOR

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.

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] QLEAVE
  Unit 1, 62 Crockford Street, Northgate Qld 4013 | PO Box 315, Virginia BC Qld 4014
  Freecall 1800 803 481 | Email [email protected] | Web www.qleave.qld.gov.au



QLeave is collecting the information on this form for the purposes of administering the Building and Construction
Industry (Portable Long Service Leave) Act 1991, as required by that Act. QLeave may give some or all of this          FM/LV/10624.7
information to various other Government departments or agencies as required or permitted by law.