Form 15

5. Building certifier reference number and building development approval number

                                                                       Building development
 Building certifier reference
                                                                       application number (if
 number
                                                                       available)



6. Appointed competent person details
Under Part 6 of the Building Regulation 2021 a person must be assessed as a competent for the type of work (design-
specification) by the relevant building certifier.

 Name (in full)                         Lincoln James Roberts

 Company name (if applicable)           StructuraLinc Consulting Engineers Pty Ltd.

 Contact person                         Lincoln

 Business phone number                  0478 009468                                     Mobile   0478 009468

 Email address                          [email protected]

 Postal address                         PO Box 110

                                                                             Suburb/locality     Coolum Beach

 State                                  QLD                                  Postcode            4573

 Licence class or registration
                                        Registered Professional Engineer of Queensland - Structural
 type (if applicable)

 Licence or registration number
                                        RPEQ 17393
 (if applicable)



7. Signature of appointed competent person
This certificate must be signed by the individual assessed and appointed by the building certifier as competent to give design-
specification help.

 Signature                                                                                       Date   4/10/2024


LOCAL GOVERNMENT USE ONLY

 Date received                      Click or tap to enter a date.      Reference number/s




Building Regulation 2021 • Section 73 and 77 • Form 15 • Version 2 • March 2023                                        Page 2 of 2