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Unified Application For Occupancy Permit

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madelorenzo86
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49 views

Unified Application For Occupancy Permit

Uploaded by

madelorenzo86
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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Republic of the Philippines

Department of Public Works and Highways


City of Calapan
Province of Oriental Mindoro

OFFICE OF THE BUILDING OFFICIAL


UNIFIED APPLICATION FORM FOR CERTIFICATE OF OCCUPANCY
AND FIRE SAFETY INSPECTION CERTIFICATE
FULL PARTIAL

Building Permit No. : ________________


Date Issued : ________________
FSEC No. : ________________
Date Issued : ________________

___________________________
(Date)

Name of Owner/Permittee : _____________________________________________________________________


(Last Name) (Given Name) (Middle Initial )
Address of Owner/Permittee: ____________________________________________ Zip Code:______________
________________________________________________________________________ Tel. No.::_______________
Requirements submitted:
Issued Building Permit and Plans ( 1 set ) Issued Fire Safety Evaluation Clearance (FSEC)
Construction Logbook, signed and sealed by the Owners Other documents deemed necessary: (Specify)
Architect or Civil Engineer who undertook full-time inspection _____________________________________________
and supervision ______________________________________
Photos of Site/Project showing substantial completion
Certificate of Completion, duly notarized
As-Built Plans and Specifications, duly signed and sealed by
Respective design and professionals (whether or not there are changes
Made from the submitted building plans ) (4 sets)

Name of Project : ________________________________________________________________________________


Location of Project: ______________________________________________________________________________
Use/ Character of Occupancy: ________________________________________
No. of Storey/s: ______________________________________________________
No.of Units: _________________________________________________________
Total Floor Area (Square Meters): ____________________________________
Date of Completion: _________________________________________________
Submitted by:
____________________________________________
OWNER / PERMITTEE
(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
(Signed and Sealed Over Printed Name)
Date

PRC No. Validity

PTR No. Date Issued

Issued at: TIN

CTC No. Date Issued Issued at

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