Application for permit to damage vegetation - OPW13/0572

          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.qld.gov.au. For
             further information contact QLeave on 1800803481 or visit www.qleave.qld.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                                              I Reference numbers
          NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER


           To
                                                                      I   Council. I 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
                                                                                                                              Name of officer
                                                QLeave project        Amount paid                         form sighted by
           Description of the work                                                          Date paid                         who sighted the
                                                number                ($)                                 assessment
                                                                                                                              form
                                                                                                          manager




          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 Qld 4002
       tel 13 QGOV (1374 68)
       [email protected]                                                                                      /DAS form I-Application deta s
                                                                                                                           Version 3.0-1 July 2013
       www.dsdlp.qld.gov.au

L..-                                             =