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Apmc Permit

This document is a permit application form for contractors seeking permission to conduct construction or maintenance work on an estate property. It includes instructions for completing the form, sections for the applicant details and project details, a list of required supporting documents, and logs for processing and approving the application. If approved, the form acknowledges receipt and notifies the applicant that verification of their permit status will occur within a set number of working days.

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100% found this document useful (1 vote)
3K views

Apmc Permit

This document is a permit application form for contractors seeking permission to conduct construction or maintenance work on an estate property. It includes instructions for completing the form, sections for the applicant details and project details, a list of required supporting documents, and logs for processing and approving the application. If approved, the form acknowledges receipt and notifies the applicant that verification of their permit status will occur within a set number of working days.

Uploaded by

notapernota101
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FMD-F-11-02.49.

1
Control No.

PERMIT APPLICATION FORM


ESTATE: ____________________________________
DATE: ______________________________________

INSTRUCTIONS:

1. ACCOMPLISH THE FORM CORRECTLY


2. PRINT DATA LEGIBLY IN CAPITAL LETTER
3. SUBMIT THIS FORM TO THE EVALUATOR TOGETHER WITH THE REQUIRED SUPPORTING DOCUMENTS

PROPONENT/CONTRACTOR: ______________________________________________

COMPANY TIN: ______________

PURPOSE: ______________________________________________________________

CONTACT NO.: ______________

LOCATION: __________________________________________________________________________
PERIOD COVERED:

FROM:___________________________________

REPRESENTATIVE: _________________________________

TO: ____________________________________

DESIGNATION: _________________________________________________

PROJECT SUPERVISOR: _______________________________________________________


(TO BE FILLED BY APMC PERSONNEL)
REQUIRED SUPPORTING DOCUMENTS

TYPE OF PERMIT
NEW

MAINTENANCE
CONSTRUCTION
PASS-THRU
EVENT
MAINTENANCE
RENEWAL
CONSTRUCTION
PASS-THRU
EVENT
BOND
ROAD SIGNS
MARSHALS
OTHERS
TOTAL

OTHER REQUIREMENTS

RENEWAL

[ ]METHODOLOGY
[ ]GANTT CHART
[ ]LOCATION MAP

FEES
Php
Php
Php/50 linear meters
Php:
Php/truck/ mo.
Php:
To be assessed by TA/PM
Php:
To be assessed by TA/PM
Php:
Php
To be assessed by TA/PM
Php:
Php:

[ ]LAY-OUT
[ ]VISUAL PEG
[ ]JOB HAZARD ANALYSIS
[ ]ENDORSEMENT LETTER FROM
CLIENT/BUILDING ADMINISTRATOR
[ ]LIST OF TRUCKS (PLATE NO.AND MAKE)
[ ]OR/CR OF VEHICLE
[ ]PHOTOCOPY OF DRIVERS LICENSE
[ ]LIST OF MANPOWER
[ ]LIST OF TOOLS/EQUIPMENT

Php:

THIS IS TO CERTIFY THAT THE INFORMATION GIVEN IS TRUE AND CORRECT


_______________________________________
SIGNATURE OF REPRESENTATIVE

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

FOR APMC PERSONNEL USE ONLY


TRANSMITTAL LOG
MESSENGER: _________________________________________________________________
TRANSMITTED TO: ____________________________________________________________
RELEASED BY: _______________________________________________________________
REMARKS (IF NOT RELEASED): ___________________________________________________

DATE/TIME: _____________________
DATE/TIME: _____________________

Commitment Date for Update: ___________________________

REVIEW AND APPROVAL LOG


1. COMPLETE APPLICATION FORM AND SUPPORTING
DOCUMENTS (PROPERTY MANAGER)
2. REVIEWED BY TECHNICAL ASSISTANT
3. APPROVED BY THE PROPERTY MANAGER
4. PAYMENT (ADMINISTRATIVE ASSISTANT/FINANCE
MANAGER)

SIGNATURE/DATE
_______________________

COMMENTS
________________________________________

_______________________
_______________________
_______________________

________________________________________
________________________________________
________________________________________

5. RELEASED

______________________

________________________________________

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

PERMIT APPLICATION FORM


ACKNOWLEDGEMENT STUB

Control No.

NAME OF REPRESENTATIVE:
RECEIVED BY:
SIGNATURE OVER PRINTED NAME

DESIGNATION

NOTE: Verification of status may be made after ________working days upon receipt of application.

DATE

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