IDAS FORM 1 signed · MCU15/0050

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 Service 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.qid.gov.au. For
further information contact QLeave on 4800 803 481 or visit www.qleave.qid.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 Public Records Act 2002.

 

OFFICE USE ONLY

 

Date received C.t—‘“C~*C Reference numbers [

NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

To lL Council. | have been engaged as the private certifier for the

 

building work referred to in this application

 

 

BSA Certification license Building

Date of engagement | Name number classification/s

 

 

 

 

 

 

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

 

 

Date receipted | \jame of officer

ates QLeave project Amount paid . form sighted by A
Description of the work euimber i) Date paid aesesement sighted the
manager

 

 

 

 

 

 

L

 

 

 

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 Qid 4002
tel 13 QGOV (13 74 68)

[email protected] IDAS form 1-

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