08/1127 - MCU - Entertaining & Dining Business Type 1 - Food & Beverages [As Published] · 132008.1127

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

Attachments and supporting information (Complete Table | - Use a separate row for gach type of attachment or information, including information required
under this Part} Please ensure all documentation submitted with this form, including other Parts of For 1, of owner's consent, etc, are securely attached to this Part of the Form,

 

 

 

 

 

 

 

 

 

 

 

 

Description of attachment or information Title (if appicable) Method of delivery to
Table | (eg. Pat C of Form 1, cre consent ence rsoue fog. A ‘StrootTraffic R Date assessment manager
Assessment Checklist June 08
Form 1 Part D June 08
3 Planning Report June 08
Portable Long Service Leave (PLSL) levy (Appicablo for certain bulging and construction work valued over $80,000 only) .

10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: ( Tick box if applicable)

LJ the application seeks a preliminary approvat only;

the application is not for building and construction work under the Building and Construction Industry (Portable Long Service
Leave) Act 1991, section 3A (e.g. the application is only for a change of use, or for the following types of work carried out solely for
farming purposes: land clearing, site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of
regrowth, thinning vegetation or controlling weeds or pests);

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

(C1 the work is being carried out under an owner-buitder permit issued under the Queensland Building Services Authority Act 1991 -

Complete and submit a QLeave Notification and Payment Form {no payment required if owner-builder permit number stated). The recelpted 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)?

No - End of Part A
[J] Yes - Answer 012 below

 

OFFICE USE ONLY (For use by the Assessment Manager / Private Certifier) (Optional)

A Receiving officer's Reference
Fee (S)lJa2<° | Date received | Pex/ta Jog name P) Cone, numbers o8/

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NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER

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

 

 

 

 

Date of

engagement Name BSA Certification number Building classification/s

 

 

 

 

 

 

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

 

 

 

Date receipted
Description of the work Qheave Project umber |Amount paid ($)| Date paid | msiahtod by | Name of oftces who sighted te
manager
1

 

 

 

 

 

 

 

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 detaits will not be disclosed for a purpose outside of the DAS process, except where required by legislation (including the Freedom of information Act 1992) or as
required by Parliament. This information may be stored in a DIP database. The information coitected will be retained as required by the Public Records Act 2002.

 

 

Advice for completing Part A