08/1166 - Preliminary Building Works assessable against the Planning [As Published] · 172008.1166

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

 

‘Attachments and supporting information (Complete Table | - Use @ separate row for each type of attachment or information, including information required under
this Part} Please ensure all documentation submitted with this forin, inching other Parts of Form 4, or owner's consem, efc, are securely attached to this Part of the Form.

 

 

 

Table |

 

 

 

 

 

 

 

 

 

 

{Portable Long Service Leave (PLSL) levy (Applicable for certain buikding and construction work valued aver $80,000 onty) {

10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: (“box if appficable)
LD the application seeks a preliminary approval only;
LD the application is not for building and construction work under the Building and Construction Industry (Portable Long Service Leave)
Act 1991, section 3AA (e.g. the application is only for a change of use, or for the following types of work carried out solely for farming purposes:
fand clearing, site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of regrowth, thinning vegetation or
controlling weeds or pests);

Al costs, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or

Li the work is being carried out under an owner-builder permit issued under the Queensfand Building Services Authority Act 1991 -
Complete and submit a QLeave Notification and Payment Farm (no payment required if owner-buiider permit number stated). The receipted form must be sighted by the
assessment manager before a development permit can be given.

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

RANo- End of Part A D1 Yes - answer Q12 below

12, Has the PLSL levy been paid?

oO No - (NOTE: An application can be lodged prior to payment of the applicable PLSL levy. However, the levy 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 levy you will need to complete and submit a Notification
and Payment Form to QLeave.}

11 Yes - Complete Table L an

TableL ft: ‘i

 

   
 

 

 

 

 

 

 

 

 

 

1.

 

 

   
 

 

 

 

 

 

 

 

 

 

 

 

 

NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER

 

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

 

 

 

 

 

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)
= - 7 —- - Tp ee DRED EAL Spo =

 

   
 

 

 

 

 

 

 

 

 

 

 

Privacy Statement

The information collected on Form 1 will be used by the Department of Infrastructure and Planning (DIP) in accordance with the 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 legisiation (including the Freedom of Information Act 1992) or
as required by Parliament. This information may be stored in a DIP database. The information collected will be retained as required by the Public Records Act 2002.

 

 

 

Page 3 ee