2015/16 Community Land Permits and Parking
Parking permit application
Sunshine Coast Regional Council Local Law No. 1 (Administration) 2011
Important information – please read before completing application form.
An application form and applicable fee must be provided for each vehicle that requires a parking permit.
Application fee is non-refundable and must be paid on application.
Your application will be assessed within 28 days you will be notified in writing of the outcome of your application.
Select application type: (additional information is available via council’s website)
Business parking permit
$47 per vehicle
Caloundra pre-paid parking permit (metered bay)
$67 per vehicle
War Veteran Caloundra pre-paid parking permit (metered bay) Nil 
Sunshine Coast pre-paid parking permit
$47 per vehicle
Residential parking permit
$47 per vehicle
Works zone parking permit
$47 per vehicle
Replacement parking permit 
$45 per replacement
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1. Applicant details
Person
Not for profit
Company
Government
Applicant name
Other:
Date of Birth
ABN (if applicable)
Business Name
Residential Address
Suburb
State
Postcode
State
Postcode
Postal address
Suburb
Home / work phone
A/H phone
Mobile
Email address
2. Vehicle details
Registration:
Make:
Model:
Colour:
3. Sunshine Coast Pre-Paid Parking Permit and Business parking permit applications
Only complete Item 3 if you are applying for a Sunshine Coast pre-paid parking permit or Business parking permit
Car park location (include street address and provide site plan if applicable)
On-street car park required?
(include site plan if applicable)
Off-street car park required?
(include site plan if applicable)
Yes. *
*Street name/s:
No.
Yes. *
*Exact location/s:
No
Privacy
Council will use any personal information provided by you for the intended purpose only and for remaining in contact with you. Council
is authorised to collect this information in accordance with the Local Government Act 2009 and other Local Government Acts. Your
personal information is only accessed by persons authorised to do so. Council may provide information about you to any relevant
Queensland State Department. Your personal information is dealt with in accordance with council’s privacy policy.
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2015/16 Community Land Permits and Parking permit application
4. Works zone parking permit
Only complete Item 4 if you are applying for a Works zone parking permit.
Car park location (include street address and provide site plan if applicable)
On-street car park required?
(include site plan if applicable)
Off-street car park required?
(include site plan if applicable)
Yes. *
*Street name/s:
No.
Yes. *
*Exact location/s:
No
Please include details of the works being carried out on the premises including a copy of the development application and/or building works approval
and the hours of operation. In the case of continuing traffic; the nature and type of the traffic and the general class of the vehicle likely to be parked in
the works zone.
5. Residential parking permit
Only complete Item 5 if you are applying for a Residential parking permit.
Lady Musgrave Dr Mountain Creek
Nambour Hospital Precinct Regulated Parking Area
Birtinya Regulated Parking Area
Residential zone
House number
Street name
Proof of the applicant’s residential address, such as a current rates notice, a driver’s licence or utility bill; and proof that the vehicle is registered to, or
will be primarily used by a resident at the address such as a current vehicle registration notice or transfer document showing the applicant’s address or;
for a company vehicle, a letter from the company that states the applicant’s home address confirming that the applicant is a company employee with use
of the vehicle
6. War veteran parking permit
Only complete Item 6 if you are applying for a War veteran parking permit.
DVA File no
7. Declaration of applicant
I/We, the applicant, declare that the above information is correct in all respects, at the time of lodgement of this
application with the Sunshine Coast Regional Council. Should any of the details given in relation to this application be
changed in the future, the applicant shall advise the Sunshine Coast Regional Council in writing prior to any such change
being implemented.
Signature
Date
8. Payment options
In person
Customer service centres: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays).
By mail
Cheque or money order to be made payable to: Sunshine Coast Regional Council.
 Cheque
 Money order
 Mastercard
 Visa
Card number
Expiry date
Amount $
Name on card
Signature of cardholder
Phone
Is a receipt required?
 Yes
OFFICE USE ONLY
Application no.
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Amount paid
Date paid
Receipt no.
2015/16 Community Land Permits and Parking permit application
Initial
Date stamp
 No