04/4078 - Change to a Development Approval (Extension to Restaurant) [As Published] · 132004.4078.05

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

‘Attachments and supporting information (Complete Table! - Use a separate row for each type of attachment or information, including information required
tunder this Part) Please ensure all documentation submitted with this form, including other Parts of Form 1, or owner's consent, elc, are securely attached to this Part of the Form.
Description of attachment or information : Title (anol ,
5 . if applicable) Method of delivery to
Table | .g. Part C of Form 1, owner's consent, evidence of resource | ile (i Date
(eg. “alocatonlenilement plans, crawings. reports) \ (e.g. General Authority James StreetTraffic Report) assessment manager
pemwenternrD
2—+-ReterrakGhecktist
3 evidence of resource entitlement over the counter
4 Proposal report over the counter
‘Portable Long Service Leave (PLSL) levy (Applicable for cestain building and construction work valued over $80,000 only) _. j

 

40. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: ( Tick box if applicable)
[_] the application seeks a preliminary approval only;

the application is not for building and construction work under the Building and Construction Industry (Portable Long Service
Leave) Act 1997, 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: Jand 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 indirectly, are less than $80,000, inclusive of GST; or
(J 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 before a development permit can be given.

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

EX) No - Endo Pant a
(1 Yes - Answer Q12 below

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

, Receiving officer's Reference
Fee ($) Date received name numbers
1 NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER |
To: Council. | have been engaged as the private certifier for the building work referred to in this application.
. engagement , Name BSA Certification number Building classification/s

 

 

 

 

 

 

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

 

 

 

 

 

Date receipted
Description of the work Leave Project Number |Amount paid ($)| Date paid form sighted by Name of ofcer iho sighted the
manager
[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