09/0943 - Op works - Jetty & Boatlift [As Published] · 142009.943

INTEGRATED PLANNING ACT 1997 Part A. Version 3 t, 3 March 2008

Attachments and supporting information (Complete Tabiei - Use 2 separate row foz sach type of attachment or information, including information required
under thisPar) Please ensure ali documentiion submitted wilh this fom, mchuding other Parts of Fon 1, or owaer's consent, ec, are securely attached to {his Part of the Form.

 

 

 

 

 

Descnption of aitachment or information - .
Table | (2g PatG ofForm 1, owner's consend, evidence of wsoine |, | coneg ined isantn a dic Report Date Method of eoivery fo
aiecatonent¥ement, plans, drawngs, reports} eg " ve Repo) essment manager

1 Parte 14-Jul-2009 | over the counter

z Checklst 14-Jul-2009 | over the counter

3 John Norden Plans t4.Jul-2008 | over the counter

 

 

 

 

 

 

Portable Long Service Leave (PLSL) levy (4ppizeb'e for certain building and constiuction work valued over 920,000 only
10 The Portable Long Service Leave Levy (PLSL) is nat apphcable to this application if any of the following apply ¢ Tick bor F apoiicanies

O the application seeks a preliminary approval only,

(1 the application is not for building and construction work under the Building and Construction Indusiry (Porta e 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),

all costs, that relate to the work both directly and indirecily, are less than $80,000, inclusive of GST, or
1 the work is being carried out under an owner-bullder permit issued under the Queensland Buikting Services Authority Act 1991 -

Complete and submit a QL eave Notification and Payment Form (no payment required if owner. builder permit number stated) The receipted form musi be
sighted by the assessment manager beibre a development permit can be given

11. Is payment of a PLSL levy applicable to this application? (Refer to O10 and the Advice below for more information)?
X No - End ofPartA

(1 Yes - Answer 012 below

 

OFFICE USE ONLY (For use by the Assessment Manager / Private Certifier) (Cptional)

Receiving officer's Reference
Fee (§}| Apo» | Dale receved| wt[rfy 4 name lS f numbers 4/4 43

 

 

 

 

 

 

 

 

 

 

 

t

 

" NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER

 

 

To (Council. | have been engaged as the private certifier for the building work referred to in this application

 

 

 

Date of Name BSA Certfication number Building classitication/s
engagement

 

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)

 

 

Date recepted
Oescription of the work QLeave Projecl Number {Amount paid(3){ Date pard ‘cam sighted by } Name at afticer who sighted the
assessinent fom
manage!
[i

 

 

 

 

 

 

 

 

Privacy Statement

The Information collected on Form ! will be used by the Department of infastructure and Planning (DIP) in 2ocordance with the processing and assessment of your Application.
Your personal details will not be dischased for ¢ purpose outsige of the (DAS process, except where required ty legisiation (including the Freedom of tnformation Act 1992) or as
required by Parliament This information may be stored in a DIP database The information cafected will be retained as requited by the Public Records Act 2002

 

 

 

Advice for completing Part A