OPW14/0261 - Application for Proposed Jetty at 183 Shorehaven Dr, Noosaville

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   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 1800 803481 or visit www.qleave.qld.gov.au.


   Privacy-The    information collected in this form will be used by the Department of Stale Development, Infrastructure
   and Planning (DSDIP), assessment manager, referral agency andlor 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                                                                      Council. I have been engaged as the private certifier for the
            ~------                 ...   -     ------~                  I   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 sig hted by
     Description of the work                                                                   Date paid                         who sighted the
                                              number                     ($)                                assessment
                                                                                                                                 form
                                                                                                            manaoer




   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 Old 4002
10113 OGOV (13 74 68)
[email protected]
                                                                                                                    IDAS form I-Application details
                                                                                                                           Version 3.()-1 July 2013
www.dsdip.qld.gov.au