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Q Leave- ST ANDREWS - S369320

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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: S369320                                                Date notified:

Building and construction work description: DWELLING RENOVATION / EXTENSION

Lot no.: 780                                                               Plan no.: SP315582

Building and construction work address: 22-24 THE ANCHORAGE NOOSA WATERS

Suburb: NOOSAVILLE                                                         Postcode: 4566

Internal job reference number (if applicable): 22-24 The Anchorage

Total cost of work (GST exclusive): $6,975,147                             Exempted cost of work (GST exclusive): $0.00

Total levy paid: $40,107.00

Start date: 25 Mar 2024                                                    Finish date: 23 Feb 2026

Council: NOOSA SHIRE COUNCIL

Certifier: COASTAL BUILDING CERTIFICATIONS

Owner: MR BRUCE HUNTER

Principal contractor: THE TRUSTEE FOR THE JOHNSTONE FAMILY 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

  41786533524                                    07 Mar 2024 3:02:01 PM                         $40,107.00
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Full text of the other 4 pages

Page 2

Payer details

Entity type
Entity type

  Registered company / partnership




Payer details
Australian Business Number *

  90 819 921 121


Entity name

  The Trustee for THE JOHNSTONE FAMILY TRUST


Entity Description

  Discretionary Trading Trust



Contact details

Contact person *

  SHARON JOHNSTONE


Contact person phone number (including area code) *

  0447560294


Contact person e-mail address

  [email protected]


Postal address

Address line 1 *

  PO BOX 2169


Address line 2




Suburb *                        State *               Postcode *

  NOOSAVILLE                      QLD                  4566




Building and construction work details

Building and construction work details

Page 3

Description of work

  DWELLING RENOVATION / EXTENSION


Type of work *

  HOUSING


Your internal job reference number (if applicable)

  22-24 The Anchorage


Estimated start date *                          Estimated finish date *

  25 Mar 2024                                     23 Feb 2026


Project owner

     Select if project owner details are the same as payer details

Project owner *

  MR BRUCE HUNTER


Contact person

  BRUCE HUNTER


Contact phone number

  0417320288


Contact email address

  [email protected]



Building and construction work address

Lot number                 Plan number

  780                         SP315582


Local council *

  NOOSA SHIRE COUNCIL


Building and construction work address line 1 *

  22-24 THE ANCHORAGE


Building and construction work address line 2

  NOOSA WATERS


Suburb *                          State *                    Postcode *

  NOOSAVILLE                        QLD                         4566




Assessment manager (building certifier - private or local council)
Has an assessment manager (building certifier - private or local council) been appointed? *

     Yes                                                                       No

Page 4

Name *

  COASTAL BUILDING CERTIFICATIONS


Phone number (including area code)

  0754769988


Contact e-mail

  [email protected]




Principal contractor details
Has a principal contractor been appointed? *

If a Principal Contractor has been appointed it is a requirement under the Work Health and Safety Regulation 2011 s(293) to advise who the
Principal Contractor is.

For more information please visit www.worksafe.qld.gov.au - Principal Contractors.


     Yes                                                                             No


     Select if the principal contractor details are the same as the payer details.




Exemptions
You may be eligible for an exemption. You can find a list of exemptions here on our website. Please contact us on 1300 753 283 or email
[email protected] before submitting the Notification and Payment form if you believe you may be eligible for an exemption.




Cost of work

Cost of work
Total cost of work in dollars and cents (excluding GST) *

Please note: the cost of work is the total of all costs incurred by the owner that relate to building and construction work, as defined by the Building
and Construction Industry (Portable Long Service Leave) Act 1991. You can find the definition of building and construction work on our website. For
help understanding what costs (direct and indirect) to include in the cost of work, please read the information here.

Whole dollars *

  $6,975,147



Exemption category




Leviable cost of work

  $6,975,147



Amount payable

Portable Long Service Leave Levy

  $24,412.92

Page 5

 Construction Skills Queensland Levy

   $6,975.15


 Work Health and Safety Levy

   $8,718.93


 Total levy payable

   $40,107.00




 Process submission

 Declaration

            •   I certify that the information provided is true, correct and complete to the best of my knowledge and belief, knowing it is an offence to
                provide false or misleading information.*


            •   I agree that this declaration is to be used within the meaning of the Electronics Transactions (Queensland) Act 2001 as an electronic
                communication containing my signature for the purpose of that Act.*



Amount due

  $40,107


Please select a payment option *

                                                        Paying online is safe and easy with our secure Credit/Debit Card facility. Confirmation of
    Credit/Debit Card                                   notification and payment will be issued immediately upon payment.The following cards are
                                                        accepted:




    Other payment options

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