32099 Form-1-application-mcu rev1

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 803 481 or visit www.qleave.qld.gov.au.


Privacy—The information collected in this form will be used by the Department of Infrastructure, Local Government
and Planning (DILGP), assessment manager, referral agency and/or 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                                        Reference numbers

NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

 To                                                   Council. I have been engaged as the private certifier for the
                                                      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 sighted by
 Description of the work                                                Date paid                         who sighted the
                                  number            ($)                              assessment
                                                                                                          form
                                                                                     manager




The Sustainable Planning Act 2009 is administered by the Department of Infrastructure, Local Government and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.




                                                                                             IDAS form 1—Application details
                                                                                                 Version 4.2—3 August 2015