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SANS Form 4 v1

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8 views

SANS Form 4 v1

Uploaded by

pdejager
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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NATIONAL BUILDING REGULATIONS AND

BUILDING STANDARDS ACT, 1977 (Act No. 103 of 1977), AS AMENDED

CERTIFICATE OF COMPLETION OF THE STRUCTURAL OR FIRE


FORM 4 PROTECTION OR FIRE INSTALLATION SYSTEM IN TERMS OF
SECTION 14(2)(a) OF THE ACT
(This form is to be completed upon the completion of the construction, erection or installation of the structural
system, the fire protection system or the fire installation system)

To: . .THEEWATERSKLOOF
. . . . . . . . . . . . . . . .MUNICIPALITY
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name of Local Authority)

*Erf/Holding/Portion No.: . PORTION


....... 6
*Township/Agricultural Holding/Farm name:. . .KLEINE
. . . . . WESSELS
. . . . . . . .GAT
. . .NO
. . .287
.................

Street address: . .OFF


. . .WORCESTER
. . . . . . . . . .STREET,
. . . . . .GRABOUW
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . .
........................................................

Nature of project: . .EXTENTION


. . . . . . . . .OF
. . BOAT
. . . . .HOUSE
......................................
(Insert proposed new building(s), or building alteration, building addition, re-erection of building, refurbishment
or building or structural repair to existing building, as relevant.)

I, . .PIERRE
. . . . . DE
. . .JAGER
......................................................................
(Name of approved competent person)

Address . .16. .PLANTATION


. . . . . . . . . .STREET
.........................................................
. .CERES
.....................................................................

Tel. No.: . .0824155580


. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax No.: . .0865461943
...........................
Email: . . [email protected]
.........................................................................

of . PROCON
..........................................................................
(If representing a partnership, association, company or incorporated body, the name thereof)

hereby certify as required by Section 14(2)(a) of the National Building Regulations and Building
Standards Act, 1977 (Act No. 103 of 1977, as amended) that for the above project *the structural
system/the fire protection system / the fire installation system for which I am responsible has to the
best of my knowledge been designed and *constructed / erected / installed in accordance with the
application in respect of which approval was granted in terms of Section 7 of the Act and that it
satisfies the requirements of the National Building Regulations.

Signature of Approved Competent Person. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date 25


. . .Nov
. . . 2011
..

Professional registration number: . .ST. .1653 SACAP


. . . . . . . . . . . . . . . . . . Registration council: …………………..
(Insert number)

(* Delete that which does not apply)

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