Request for Exemption Cert - Re-roofing dwelling and ancillary structures - Coastal Protection Overlay · EXE26/0010

Document Set ID: 25110805
Version: 1, Version Date: 31/08/2026


[OCR of page images]
P: (07) 5412 1520

abn. 28 166 025 429

Pacific BCQ [email protected]

e BUILDING CERTIFICATI www.pacificbcq.com.au
PO Box 1901, Noosaville BC, QLD, 4556

Unit 2/11 Project Avenue, Noosaville, QLD 4566

OWNERS CONSENT.
Privacy Act 1988, Information Privacy Act 2009
and Planning Act 2016

TO WHOM IT MAY CONCERN,
Pursuant to the Privacy Act 1988, the Information Privacy Act 2009, the Planning Act 2016 and the Local Government Act
2009, | / We being the Registered Owners of the property located at:

Address: 31 Ross Crescent Sunshine Beach Qld 4567 Australia

Property Description: Lot 5 RP 216711
Local Council: Noosa Shire Council

Hereby Consent to Pacific BCQ:

1. Acting on my/our behalf in making all requisite Building Development Applications in relation to abovementioned
property & Lodgeing Request for Exemption Certificate — Pre Approval Process to local authorities;

2. Obtaining all requisite property information in relation to the abovementioned property and premises;

3. Entering the property at all reasonable times during business hours for the purposes of inspections.

Associated with the following:
Application For: Re-Roof Dwelling and Ancillary Buildings/Structures.

 

Name (in full) Signature Date

Sate “as
a

Giwa Naneune Frureny. Yea M Facnlae 3e/ b/al

 

 

 

 

 

 

 

 

t If there are multiple individual owners of the land the signature of each owner is required

(9 RICS

BCA Consultancy Services | Regulatory Development Co-ordination| Domestic and Commercial Building Approvals

 

Document Set ID: 25110805
Version: 1, Version Date: 31/08/2026