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 Notification and Payment Confirmation
This form is issued in accordance with the Building and Construction Industry (Portable Long Service Leave) Act 1991 s77(2). Form BCI 14v0.


BUILDING AND CONSTRUCTION WORK DETAILS

QLeave levy number: S347031                                                Date notified:

Building and construction work description: DWELLING - LOWSET & HIGHSET

Lot no.: 5                                                                 Plan no.: SP 298783

Building and construction work address: 2A STARBOARD AVE

Suburb: NOOSAVILLE                                                         Postcode: 4566

Internal job reference number (if applicable): [TODO]

Total cost of work (GST exclusive): $2,018,073                             Exempted cost of work (GST exclusive): $0.00

Total levy paid: $11,604.00

Start date: 01 Aug 2023                                                    Finish date: 01 Jul 2024

Council: NOOSA SHIRE COUNCIL

Certifier: CODES BUILDING CERTIFICATION

Owner: JACOBINA CORINA KIERS

Principal contractor: THE TRUSTEE FOR FOR THE WATHERSTON TRUST



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, all 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 Q 4013 | PO Box 315, Virginia BC Q 4014
Freecall 1800 803 481 | Email [email protected] | Web www.qleave.qld.gov.au


BUILDING AND CONSTRUCTION WORK COMPLETED

When your building and construction work reaches practical completion, we invite you 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

  35693130305                                    31 Jul 2023 6:33:44 AM                        $11,604.00
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