IDAS form 1 - 61 Morinda Circuit Noosaville · OPW16/0220

Department of Infrastructure, Local Government and Planning

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.qid.gov.au. For further information contact QLeave on
1800 803 481 or visit www.qleave.qid.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 Reference
received numbers

NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

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

Date of Name BSA Certification Building

engagement a license number classification/s

QLEAVE NOTIFICATION AND PAYMENT (For completion by assessment manager or
private certifier if applicable.) -
- —+

Date
QLeave - receipted Name of
Description of the Amount paid Date form sighted officer who
work Se ($) paid by 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.

Department of State Development, Infrastructure and Planning
PO Box 15009 City East Qid 4002

tel 13 QGOV (13 74 68)

info@dsdi

www.dsdip.qid.gov.au