Operational Works Application OPW21/0243 - Driveway application and supporting documents - 6 Robin Place, Lake MacDonald

                                        PORTABLE
                                        LONG SERVICE
                                        LEAVE




  Notification and Payment Confirmation
This form is issuedinaccordance with the Building and Construction Industry (Portable Long Service Leave) Act 19915/7(2). Form BCI 14v0.


BUILDING AND CONSTRUCTION WORK DETAILS

QLeave levy number: S267231                                                Date notified:

Building and construction work description: DWELLING - LOWSET & HIGHSET

Lot no.: f4                                                                Plan no.: SP3f 5578

Building and construction work address: ROBIN PL

Suburb: LAKEMACDONALD                                                      Postcode: 4563

Total cost of work (GST exclusive): $450,000

Total levy paid: $2,587.00

Exempted cost of work (GST exclusive): $0.00

Start date: 14 Jun 2021                                                    Finish date: 28 Feb 2022

Council: NOOSA SHIRE COUNCIL

Certifier: URBAN CERTIFIERS

Owner: RICHARD GREEN AND LKELLY

Principal contractor: KELLY, MARTIN


QLeave has issued this form to confirm that notification and payment has been
received. Under s.77 of the Building and Construction Industry (Portable Long Service
Leave) Act 1991, ail obligations have been met.
Your Assessment Manager (Local Government or Private Certifier - Class A) will require a copy of this form prior to the issue of a
development/building permit.


CONTACT QLEAVE

Unit 1 62 Crockford St, Northgate C 4013 | PC Box 315, Virginia BC C 4014
Freecall 1800 803 481 | Email [email protected] I Web www.qleave.qld.gov.au


BUILDING AND CONSTRUCTION WORK COMPLETED

When your buildng and construction work reaches practical completion, you will be required to submit your final costs and completion date to
QLeave. To provide QLeave with these details please complete the building and construction work completed form available at
www.qleave.qld.gov.au and send it to [email protected]


PAID

Receipt number                                 Date paid                                     Amount paid

  14077216049                                   01 Jun 2021 10:11:13 AM                          $2,587.00