Council of the City of Gold Coast
Request to apply superseded
planning scheme
supplementary checklist
Planning and Environment
Planning Assessment
City Development
PO Box 5042 GOLD COAST MC QLD 9729
P: (07) 5582 8866 F: (07) 5596 3653
E: mail@goldcoast.qld.gov.au
W: cityofgoldcoast.com.au
Please use BLOCK LETTERS and complete all details in full
Privacy statement
Council of the City of Gold Coast (Council) is collecting your personal information in order to assess your superseded planning scheme request.
Your participation is voluntary. The information will only be used by authorised Council officers for the purpose of assessment of request and
ensuring our records are accurate. Your information will not be given to any other person or agency unless you have given us permission or we are
required by law.
Submit this completed checklist with all supporting documentation for all requests lodged under section 95 of the Sustainable Planning Act 2009.
This is not a mandatory form for the purposes of lodging a correct request under the Sustainable Planning Act 2009, however Council suggests that
this form be used in support of your request and to assist in the assessment of your request.
Property details
Lot number
Registered plan number
Property address
Mandatory information
(Section 95 Sustainable Planning Act 2009)
Completed SPA Form 2 or written request
Yes
No
Description of proposed development or copy of proposed development application or request for compliance
assessment
Application fees paid
Yes
No
Yes
No
Covering letter of application detailing the proposed development
Yes
No
Report identifying and assessing the proposal against Councils nominated superseded planning scheme
Yes
No
Plans (site plan, floor plans, elevations) drawn to scale on A3 sheet
Yes
No
Supplementary information
(Please provide three hard copies of each item)
Declaration
I declare that:
 The information provided in this form is complete and correct
 I have read the privacy notice
Signature
Date
Fees
Fee name
[√ ] please tick applicable fee(s)
Request for superseded planning scheme assessment
Plus one of the following
for projects with a construction cost of $1 million - $20 million
for projects with a construction cost of greater than $20 million
Account number
Amount
90280
$ 2,315
90280
$ 5,789
90280
$ 11,576
These fees are in accordance with Councils regulatory fees and non-regulatory charges. A copy of the Councils regulatory fees and non-regulatory
charges can be found on the website cityofgoldcoast.com.au
Office use only
Date received
Fee paid
Received by
Receipt number
Business partner name
Account number
Business partner number
AMS code
Document #30487784 v14
Last Updated 01/02/2016
(if applicable)
Page 1 of 2
Payment Options
Business partner account (BP)
Business partner name
Business partner number
Cash, cheque or credit card at any of Council’s branch offices. For branch office locations and operating hours, please refer to
Council’s website.
Please be advised that payments by credit card will incur a surcharge of 0.60%.
Cheque or money order may be posted to Council’s post office box address as above. Please ensure that you provide
adequate reference details or attachments to allow the cheque to be appropriately receipted.
Document# 30487784 v14
Last Updated 01/02/2016
Page 2 of 2