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Demolition Permit

This document is a demolition permit application for a building or structure located in Lucena City, Philippines. It provides details about the applicant and property owner, including certifying that the applicant is the bonafide owner of the building to be demolished, it is not leased or involved in litigation, all utility lines have been disconnected, and real estate taxes have been paid. It also notes that the demolition will be supervised by a licensed architect or civil engineer. Signatures of the owner, architect/engineer, and notary public are required as part of the application.

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CPDOlucena
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2K views2 pages

Demolition Permit

This document is a demolition permit application for a building or structure located in Lucena City, Philippines. It provides details about the applicant and property owner, including certifying that the applicant is the bonafide owner of the building to be demolished, it is not leased or involved in litigation, all utility lines have been disconnected, and real estate taxes have been paid. It also notes that the demolition will be supervised by a licensed architect or civil engineer. Signatures of the owner, architect/engineer, and notary public are required as part of the application.

Uploaded by

CPDOlucena
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
  • Demolition Permit Application: Application for a permit to demolish a building, including applicant details and legal acknowledgements.

Republic of the Philippines

OFFICE OF THE BUILDING OFFICIAL


Lucena City
AREA CODE : 042

APPLICATION NO : PERMIT NO.


______________________________ ________________________________
______________________________ ________________________________
Date of Application Date of Completion

DEMOLITION PERMIT APPLICATION

I HAVE THE HONOR TO APPLY FOR A PERMIT TO DEMOLISH A ________________________


BUILDING / STRUCTURE, LOCATED AT _____________________________________________________
SHOWN IN THE SKETCH AT THE BACK OF THE FORM.

IN THIS CONNECTION, I CERTIFY TO THE FOLLOWING:

1. THE UNDERSIGNED IS THE BONAFIDE OWNER (AUTHORIZED REPRESENTATIVE)


OF THE BUILDING / STRUCTURE TO THE DEMOLISHED.
2. THE BUILDING / STRUCTURE IS NOT LEASED TO ANY OTHER PARTY IS NOT
INVOLVED IN ANY COURT LITIGATION.
3. THE SUBJECT BUILDING / STRUCTURE IS ALREADY VACATED AND ALL UTILITY
LINES SUCH AS WATER, ELECTRIC, GAS AND TELEPHONE HAVE ALREADY BEEN
DISCONNECTED.
4. THE REAL ESTATE TAX OF SUBJECT BUILDING / STRUCTURE HAS BEEN PAID FOR
THE CURRENT YEAR AS PER HEREIN ATTACHED COPY OF THE RECEIPT.
5. THE PROPOSED DEMOLITION SHALL BE UNDERTAKEN UNDER THE DIRECT
SUPERVISION OF _______________________________________________, A LICENSED
ARCHITECT / CIVIL ENGINEER WHO SIGNIFIED HIS/HER ACCEPTANCE OF THIS
RESPONSIBILITY BY AFFIXING HIS/HER SIGNATURE AND SEAL HEREUNDER.

_____________________________________ _________________________________________
ARCHITECT/CIVIL ENGINEER OWNER/AUTHORIZED REPRESENTATIVE

PRC REG. NO. ________________________ TIN _____________________________________


PTR NO. _____________________________ ADDRESS _______________________________
DATE ISSUED _______________________ ________________________________________
PLACE ISSUED ______________________
_____________________________________

CONFORME:
____________________________
LOT OWNER
_________________
TIN
_________________________________________________________________________________________
_REPUBLIC OF THE PHILIPPINES)
_____________________________ ) S.S.
BEFORE ME, A NOTARY PUBLIC IN AND FOR THE _____________________________________
PHILIPPINES THIS TO ME AS THE PERSON WHO EXPECTED THE FOREGOING INSTRUMENT AND
HE/SHE ACKNOWLEDGE TO ME THAT SAME IS HIS/HER FREE AND VOLUNTARY ACT AS DEE.

IN WITNESS HEREOF, I HAVE HEREUNTO AFFIXED MY HAND AND NOTARIAL SEAL ON


THE DATE AND PLACE ABOVE STATED.

SUBSCRIBED AND SWORN TO BEFORE ME this ______ day of ________________, 200___ at


Lucena City.

____________________________________
NOTARY PUBLIC
Book No. ___________ UNTIL _____________________________
Page No. ___________ ON ________________________________
Doc. No. ___________ T __________________________________
Series of ____________

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