Scribd
Upload
241 views1 page

Unified Application Form For Certificate of Occupancy

This document is an application form for a Certificate of Occupancy from the Office of the Building Official in Guimba, Nueva Ecija, Philippines. It requests information such as the owner's name and address, building permit number, fire safety inspection certificate number, requirements submitted including construction documents signed by professionals, and project details like location, size, and occupancy. The owner or applicant must sign to submit, and the full-time construction inspector or supervisor must also sign to attest the form.

Uploaded by

Edmond Bautista
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
241 views1 page

Unified Application Form For Certificate of Occupancy

This document is an application form for a Certificate of Occupancy from the Office of the Building Official in Guimba, Nueva Ecija, Philippines. It requests information such as the owner's name and address, building permit number, fire safety inspection certificate number, requirements submitted including construction documents signed by professionals, and project details like location, size, and occupancy. The owner or applicant must sign to submit, and the full-time construction inspector or supervisor must also sign to attest the form.

Uploaded by

Edmond Bautista
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
You are on page 1/ 1

Republic of the Philippines

Municipality of Guimba
Province of Nueva Ecija
OFFICE OF THE BUILDING OFFICIAL

UNIFIED APPLICATION FORM FOR CERTIFICATE OF OCCUPANCY


FULL PARTIAL

THIS ALSO APPLIES FOR: FIRE SAFETY INSPECTION CERTIFICATE

Building Permit No. : ______________________


Date Issued : ______________________
FSIC No. : ______________________
Date Issued : ______________________

___________________________
(Date)

Name of Owner/ Applicant: ________________________________________________________________________________


(Last Name) (Given Name) (Middle Initial)

Address of Owner/ Applicant: __________________________________________________ ____________________________

__________________________________________ ZIP Code:______________________Contact No. : ___________________

Requirements Submitted:

3 Copies of Certificate of Completion, duly notarized


Construction Logbook, signed and sealed by the Owner’s Architect or Civil Engineer who undertook full-time inspection
And supervision
As-Built Plans, signed and sealed by the Owner’s Architect or Civil Engineer who undertook full-time inspection and
supervision
One (1) Photocopy of the valid licenses of all involved professionals ( PRC/ PTR )
Captioned photographs of Site and Completed Building/ structure showing front, sides and rear areas
Yellow card issued by the Electrical Service Provider
Others:

Name of Project: _______________________________________________________________________________________

Project Location: _______________________________________________________________________________________


(Lot No.) (Blk. No.) (Street) (Barangay) (City/ Municipality)

Use/ Character of Occupancy: ___________________________________


No. of Storeys: _______________________________________________
No. of Units: _________________________________________________
Total Floor Area (Square Meters): ________________________________
Date of Completion: ___________________________________________

Submitted by:
______________________________________
OWNER/ APPLICANT
(Signature Over Printed Name)
Community Tax Certificate No. _____________
Date Issued: ____________________________
Place Issued: ___________________________
Attested by:
FULL-TIME INSPECTOR OR SUPERVISOR OF CONSTRUCTION

ARCHITECT OR CIVIL ENGINEER


(Signature Over Printed Name)
Date:____________________
PRC No. Validity
PTR No. Date Issued
Issued at TIN
CTC No. Date Issued Issued at

You might also like