08/0830 - Operational Works - Transport Type 5 - Domestic Marine (Private Jetty) [As Published] · 142008.830

INTEGRATED PLANNING ACT 1997 owe om _ . Part A, Version 3.1, 3 March 2008 .
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Portable Eang. Service Leave (PLSL) levy opicabie far cattain budding ond consuclion Wark Valued over SG0.000.00N).. 2
140. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: ( Tick box if applicable)

 

 

 

 

LJ the application seeks a preliminary approval only;

(CJ the application is not for building and construction work under the Building and Construction Industry (Portable Long Service
Leave) Act 1991, section 3AA (e.g. the application is only for a change of use, or for the following types of work carried out solely for
farming purposes: land clearing, site preparation, earthworks, fences, fodder harvesting clearing of encroaching vegetation, clearing of
regrowth, thinning vegetation or controlling weeds or pests);

[X] all costs, that relate to the work both directly and indirectly, are less than $80,000; inclusive of GST; or
(1 the work is being carried out under an owner-builder permit issued under the Queensland Building Services Authority Act 1991 -

Complete and submit a QLeave Notification and Payment Form (no payment required if owner-builder permit number stated). The receipted form must be
sighted by the assessment manager befare a development permit can be given.

41. Is payment of a PLSL levy applicable to this application? (Refer to Q10 and the Advice below for more information)?

IX) No - Endof Part A

[Ls Yes - Answer 012 below

 

OFFICE USE ONLY (Far use by the Assessment Manager / Private Certifier) (Optional)

Fee ($)| ;goo | Date received ee x[oF Receiving oftoers ey S Relerence 68] B30
J T

 

 

 

 

 

 

 

 

 

 

 

 

fr" = tava NOTIFICATION OF ENGAGEMENT. OF PRIVATE CERTIFIER

   

 

 

 

 

 

 

 

 

 

 

 

 

Description of the

 

 

1

Privacy Statement

The information collected on Form 1 will be used by the Department of Infrastructure and Planning (DIP) in accordance with the processing and assessment of your Application.
Your personal details will not be disclosed for a purpose outside of the IDAS process, except where required by legislation (including the Freedom of Information Act 1992) or as
required by Parliament. This information may be stored in a DIP database. The information collected will be retained as required by the Public Records Act 2002.

 

 

 

 

 

 

 

 

 

 

Advice for completing Part A

General advice

le Part A of IDAS Development Application Form 1 must be completed and accompany all development applications. The applicant is responsible
for answering all questions fully and correctly, unless following a response there is a statement to go directly to another question. The
Assessment Manger may refuse to receive an application that is not properly made.

le The IDAS Assessment Checklist must also be completed for all development applications, other than those requiring assessment against the -
Building Act 1975 only, i.e. those applications requiring the completion of Parts A and B only.

 

 

 

Applicant details 7
> If the applicant is a company or organisation, a contact person must be nominated. The applicant's signature is not required tobe provided
under the IPA. ‘