08/1698 - Preliminary Building Appoval [As Published] · 172008.1698

INTEGRATED PLANNING ACT 1997

fachr

Part A, Version 3.1, 3 March 2008

mentsiand, idi supporting infor

Pleas ensure ialidocumentaton submit

   

    
     

A

   

 
     

  
 

witht Tee

 

Table |

 

BNUOW DE Sion)
CRANINGR OF :
FRSPOSE DD PERC OLA.

(BESE)levyyaancene or cSuein buldrigane Geretrichenwerg relied over
10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: (box if applicable)
CJ the application seeks a preliminary approval only;

 

 

 

 

 

 

 

   
  

         

(C the application is not for building and construction work under the Building and Construction Industry (Portable Long Service Leave)
Act 1991, section 3A (e.g. the application is only fer 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);

CO all costs, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or

CJ the work is being carried out under an owner-builder permit issued under the Queensiand Building Services Authority Act 1991 -

Complete and submit a CLeave Notifcaticn ard Payment Form (ro payment required if owner-ouilder permit cumber stated). The receipted icrm must te sighted by the
assessment manager beftre a development permit can te given.

ls payment of a PLSL levy applicable to this application? (Refer fo Q10 and the Advice below for more information)
[1 No - Eng of Part A Yes - Answer Q12 below

414.

42. Has the PLSL levy been paid?

fl No - (NOTE. An application can be lodged prior to payment of the applicable PLSL levy. However, the levy must be paid and the receipted form sighted by the
Assessment Manager before a development permit may be given for this application. To pay the levy you will need to complete and submit a Notification
and Payment Form to Qleave.)
Yes - Compiste Table L and submit, with the appiication, the “yellow” (Local Government's (Council) / Private Cent ier's) copy of the receipted Gleave Form
Table L

 

 

 

 

 

 

 

 

 

 

PRD ON. Ma BUN, APEROUAL,

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER

 

 

 

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

 

 

 

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (fer completicn by assessment manager or private certifier if seplicable)

 

 

mee : a : Date receipted form * a
} ateave Prec. Number “| Aout pad 7 “Dae spa ff sighted by 7. Name! ‘ol officer wna sighted’ the form
: Jv. [assessment manager Boho eee Ate

 

 

 

 

 

 

 

 

 

 

Privacy Statement

The informaticn collected an Form } will be used by the Department of infrastructure and Planning {DIP) in accordance with the processing and assessment of your Apolication,

Your personal details will act 2e discicsed ior a aurcose outside of the IDAS process. axcept where required ay ‘egislaticn (including the =reedom af information Act 1992) or
as raquired by Parliament. This information may be stored in a DIP database. The information collected will be retained as sequired ay the Puplic Records Act 2002.

 

 

 

Page 3