Republic of the Philippines

Department of Public Works and Highways

OFFICE OF THE BUILDING OFFICIAL
Quezon City

APPLICATION NO. PERMIT NO.

FENCING PERMIT
DATE OF APPLICATION DATE ISSUED

BOX 1 (TO BE ACCOMPLISHED BY APPLICANT IN PRINT)

Owner Last Name First Name M.I. Tax Acct.No.
Applicant

Construction Owned Form of Ownership Telephone

By an Enterprise

LOCATION No. Street Barangay

Address No. Street Barangay

Scope of Work New Additional Repair

FENCE
Renovation Change of Material Others

BOX 2 (TO BE ACCOMPLISHED BY RECEIVING & RECORDING SECTION)

Documents/Requirements:
Certified True Copy of TCT Tax Declaration/Current Tax Receipt
Contract of Lease Duly Notarized Location Plan & Vicinity Map (5 sets)
Plans & Designs of Fence Over 1.00m Others_________________________

BOX 3 (TO BE ACCOMPLISHED BY DESIGNING ARCHITECT/CIVIL ENGINEER/CONTRACTOR IN PRINT)

Measurements in meters Length__________________ Height __________________ Excess __________________

Type of fencing:
Indineous R.C. & Interlink/Cyclone Wire
R.C. (Reinforced Concrete) R.C. & Steel Matting
R.C. & Concrete Hollow Blocks R.C. & Barbed Wire & Other Wires
R.C. & Blocks Others _______________________

BOX 4 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIALS)

ACTION TAKEN:
Permit is hereby granted subject to the following conditions:
1. THAT the proposed fence construction shall be in conformity with the National Building Code (P.D. 1996) and its
corresponding implementing rules and regulations.
2. THAT other provisions of existing laws, decrees, rules and regulations shall be complied with.
3. THAT occupants of lot shall have free access to and from the property.
4. THAT the required setback / easement shall be observed.
5. THAT the property to be fenced is not involved in any case.
6. THAT electrical permit shall be secured when equipped with electrical devices.

ENGR. ISAGANI R. VERZOSA JR.

Local Building Official

NOTE:
www.quezoncity.gov.ph
OFFICE OF THE BUILDING OFFICIAL
This permit may be cancelled or revoked pursuant to Section 305 and 306 of the “NATIONAL BUILDING CODE”.
 BOX 5 (TO BE ACCOMPLISHED BY THE DIVISION / SECTION CONCERNED)

ASSESSED FEES
AMOUNT DUE ASSESSED BY O.R. NUMBER DATE AIDE
( ) Line & Grade
( ) Fencing
( ) Electrical (if any)
( ) Others (Specify)

TOTAL REVIEWED Chief Processing Div.

We hereby affix our hands signifying our conformity to the information herein above set forth.

BOX 6 (TO BE ACCOMPLISHED BY THE DIVISION / SECTION CONCERNED)

PROGRESS FLOW
NOTED: IN OUT
Chief Processing Div. ACTION PROCESSED
Time Date Time Date
Receiving & Recording

Geotic (Line Conformity)

Structural
Electrical
Cashier

We hereby affix our hands signifying our conformity to the information herein above set forth.

BOX 7
Architect/Civil Engineer PRC REG .No.
Signed & Sealed PRINT NAME
Print Name Signature
Address
Res. Cert. Date Issued Place Issued
PTR. NO. Date Issued Place Issued

Signature

BOX 8
Architect/Civil Engineer PRC REG .No. Architect/Civil Engineer PRC REG .No.
Signed & Sealed Signed & Sealed
Print Name Print Name
Address Address
PTR. NO. Date Issued Place Issued PTR. NO. Date Issued Place Issued

Signature TIN Signature TIN

www.quezoncity.gov.ph
OFFICE OF THE BUILDING OFFICIAL