09/0986 - Preliminary Building Approval [As Published] · 172009.986

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

   
 
 

 

Description of ailachment or information A ; e dotud
Table! “ao vical evi Title (if appticatie) Method of delivery to
(ag Part © of For nner corse ovidance of sour | fag. G aithotty, James Stret Trafic Report) Date _ assessment manager

 

 

 

» | Sec Farr Buraing AS lio Vann
+ PANS -

Levy opti ern basing

 

 

 

 

 

 
     

10, - The Portable Long Service Leave Levy {PLSL) is Not applicable to this application if any of the following apply: (~“box if applicable)
(the application seeks a preliminary approval only, , .
(1 the application is not for building and construction work under thé Building and Construction industry (Portable Long Service Leave)
Act 1991, section 3AA (eg. the application is only fora change of use, or for the following types of work carried out solely for farming purposes:
“arid clearing, Site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of regrowth, thinning. vegetation or
controling weeds or pests); : .
Call costs, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or

(1 the work is being carried out under an owner-builder permit issued under the Queensland Building Services Authority Act 1991 -

Complete and submit a QLeave Noffication and Payment Form (no payment required if owner-builder permit number stated}. The receipted form must be sighted by the
assessment manager before a development, ‘permit can be given.

44. Is payment of a PLSL levy applicable to this application? (Refer to Q10 and the Advice below for more information)

DANo-EndofPatA (71 Yes - Answer Q12 below

12. Has the PLSL-levy been paid?
oO No - (NOTE: An application can be Jodged prior fo payment of the applicable PLSL levy. However, the fevy must be paid and the receipted form sighted by the
Assessment Manager before a development ‘permit may be given for this application. To pay the fevy you will need to complete and submit a Notification

and Payment Form to Qleave, )

 

   

 

 

 

 

 

 

 

 

      

 

 

Oo Yes - Complete Table L and submit, with the application. the “yellow” (Local Government's (Council) / Private Certifier's) copy of the raceipted QLeave Form.
ae SL ete “ QLeave Project Number,
Table L : paid“ <} © Date pad _. «(6 digits, starting with AB E, LorP)
1. ,
Fee ($) Date recived . Reference.

 

 

 

 

 

 

 

 

NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER

 

Council. | have been engaged as the private certifier for the building work referred to in this application.

 

To:

 

 

 

Date of engagement Name, ~ STS - BSA Ceftification lenge niiriber ™ Buikitig classifications

 

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)

   

a So ay Date receipted orm
| Description of the work Aidave Project Number Aamovey pals Datepaid -} -” . sightedby” > «
. ‘assessment manager,

 

 

 

 

 

 

 

 

 

Privacy Statement

The information collected on Form 1 will be uséd by the Department of infrastructure and Planning (DIP) in accordance with (he processing and assessment of your Application.
Your personal details will not be disclosed for a purpose ‘outside of the IDAS process, except where required by legisfation (including the Freedom of information Act 1992) or
as required by Parliement. This information may be stored in a DIP database. The information collected will be retained as required by the Public Records Act 2002.

 

 

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