REPUBLIC OF THE PHILIPPINES
OFFICE OF THE CITY/MUNICIPAL MAYOR APPENDIX B
MUNICIPALITY OF LILOY DO NOT FILL-UP (NSO USE ONLY)
APPLICATION NO. PERMIT NO.
BUILDING PERMIT
DATE OF APPLICATION DATE ISSUED
ORIGINAL RENEWAL
BOX 1 (TO BE ACCOMPLISHED BY DESIGNING ARCHITECH/CIVIL ENGINEER IN PRINT
OWNER Last Name First Name M.I. Tax Account No.
FASTRUCK.ENT
FOR CONSTRUCTION OWNED FORM OF OWNERSHIP MAIN ECONOMIC ACTIVITY KIND OF BUSINESS
BY AN ENTERPRISE
ADDRESS TEL. NO.
SAN RAMON, ZAMBOANGA CITY
LOCATION OF CONSTRUCTION
SAN RAMON, ZAMBOANGA CITY
SCOPE OF WORK:
1. NEW CONSTRUCTION √ OTHERS (SPECIFY)
2. ADDITION OF ________ 6. ___________ of ___________
3. REPAIR OF _________ 7. ___________ of ___________
4. RENOVATION OF _____
5. DEMOLITION ________ Number of Units ___________
USE OR TYPE OF OCCUPANCY
RESIDENTIAL INDUSTRIAL
11 SINGLE 31 FACTORY/PLANT
12 DUPLEX 32 REPAIR SHOP, MACHINE SHOP
13 ROWHOUSE/ACCESORIA 33 REFINERY
10 OTHERS(SPEICFY) ___________________ 35 WAREHOUSE
30 OTHERS (SPECIFY)___________________
COMMERCIAL √
21 BANK INSTITUTIONAL
22 STORE 41 SCHOOL
23 HOTEL/MOTEL, ETC. 42 CHURCH AND OTHER RELIGIOUS STRUCTURES
24 OFFICE CONDOMINIUM/BUSINESS OFFICE BUILDING 43 HOSPITAL OR SIMILAR STRUCTURES
25 RESTAURANT, ETC. 44 WELFARE AND CHARITABLE STRUCTURES
26 SHOP (e.g. DRESS SHOP, TAILORING SHOP, BARBER SHOP, ETC.) 45 THEATER, AUDITORIUM, GYMNASIUM, COURT
27 GASOLINE STATION 40 OTHERS (SPECIFY) ___________________
28 MARKET
29 DORMITORY OR THEIR LODGING HOUSE AGRICULTURAL
20 OTHERS (SPECIFY) ____________ 51 BARN(S) POULTRY HOUSE(S), ETC.
52 GRAIN MILL
OTHER TYPE OF OCCUPANCY 50 OTHERS (SPECIFY) ___________________
60 OTHERS (SPECIFY) ____________
STREET FURNITURE, LANDSCAPING & SIGNBOARDS
71 PARKS, PLAZA, MONUMENTS, POOLS, PLANT BOXES, ETC.
72 SIDEWALKS, PROMENADES, TERRACES, LAMPPOSTS, ELECTRIC POLES, TELEPHONE POLES, ETC.
73 OUTDOOR ADS, SIGNBOARDS, ETC.
74 FENCE CLOSURE
BOX 2 (TO BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION)
BUILDING DOCUMENTS (FIVE SETS EACH)
SITE DEVELOPMENT AND LOCATION PLAN MECHANICAL PLANS & SPECIFICATIONS
ARCHITECTURAL PLAN & SPECIFICATION LOGBOOK (1 COPY)
STRUCTURAL DESIGN & COMPUTATIONS OTHERS (SPECIFY)___________________
SANITARY/PLUMBING PLANS & SPECIFICATIONS
ELECTRICAL PLLANS & SPECIFICATIONS
BOX 3 ( TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)
Action Taken:
PERMIT IS HEREBY GRANTED SUBJECT TO THE FOLLOWING CONDITIONS:
1. THAT THE PROPOSED CONSTRUCTION/ADDITION/REPAIR/RENOVATION/
DEMOLITION/ INSTALLATION ETC. SHALL BE IN CONFORMITY WITH THE NATIONAL
BUILDING CODE (P.D. 1096) AND ITS CORRESPONDING IMPLEMENTING RULES AND
REGUALTIONS.
2. THAT A DULY LICENSED ARCHITECT/CIVIL ENGINEER HAS BEEN ENGAGED TO PREPARE
PLANS AND SPECIFICATIONS AND TO UNDERTAKE THE SUPERVISION/INSPECTION OF
THE CONSTRUCTION OF THE PROJECT.
3. THAT A CERTIFICATE OF COMPLETION DULY SIGNED AND SEALED BY THE DESIGNING BUILDING OFFICIAL
ARCHITECT/ENGINEER AND THE ARCHITECT/ENGINEER IN-CHARGE OF CONSTRCUTION
SHALL BE SUBMITTED NOT LATER THAN SEVEN (7) DAYS AFTER COMPLETION OF THE
CONSTRUCTION OF THE PROJECT.
4. THAT A "CERTIFICATE OF OCCUPANCY" SHALL BE SECURED PRIOR TO THE ACTUAL DATE
OCCUPANCY OF THE BUILDING.
NOTE:
THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTIONS 305 & 306 OF THE "NATIONAL BUILDING CODE."
To be accomplished in seven copies, one each for: applicant (original), Assessor, National Statistics Office, Building Official, Fire Department
BOX 3A ( TO BE ACCOMPLISHED BY DESIGNING ARCHITECT/ CIVIL ENGINEER IN PRINT)
COST OF DO NOT FILL (NSO USE ONLY)
TOTAL ESTIMATED COST EQUIPMENT
INSTALLED NUMBER OF STOREY
BUILDING P TOTAL FLOOR AREA
ELECTRICAL P PROPOSED DATE OF
P CONSTRUCTION
MECHANICAL P
P
PLUMBING P EXPECTED DATE OF
P COMPLETION
OTHERS P
TOTAL COST P MATERIAL OF CONST.
(WOOD, CONC., STEEL, MIXED)
BOX 4 (TO BE ACCOMPLISHED BY THE DIVISION/SECTION CONCERNED)
ASSESSED FEES
AMOUNT DUE ASSESSED BY O.R. NUMBER DATE PAID
LAND USE/ZONING
LINE and GRADE
BUILDING
PLUMBING
ELECTRICAL
MECHANICAL
OTHERS REVIEWED:
TOTAL CHIEF, PROCESSING DIVISION/SECTION
BOX 5 (TO BE ACCOMPLISHED BY THE DIVISION CONCERNED)
NOTED:
IN OUT ACTION/ PROCESSED
REMARKS BY
CHIEF, PROCESSING DIVISION/SECTION TIME DATE TIME DATE
RECEIVING and RECORDING
LAND USE and ZONING
GEODETIC (LINE and GRADE)
ARCHITECTURAL
STRUCTURAL
SANITARY/PLUMBING
ELECTRICAL
MECHANICAL
WE HEREBY AFFIX OUR HANDS SIGNIFYING OUR CONFORMITY TO THE INFORMATION HEREIN ABOVE SETFORTH.
BOX 6 BOX 8
ARCHITECT/CIVIL ENGINEER PRC REG. NO. SIGNATURE
SIGNED AND SEALED PLANS & SPECIFICATIONS 15909
PRINT NAME JAMES C. ABAD APPLICANT
ADDRESS CABATANGAN, ZAMBOANGA CITY
PTR NO. DATE ISSUED PLACE ISSUED
1642614 1/11/2018 Z.C
SIGNATURE
WITH MY CONSENT:
BOX 7 BOX 9 (TO BE ACCOMPLISHED BY LOT OWNER)
ARCHITECT/CIVIL ENGINEER PRC REG. NO. TCT/QCT NO.
IN-CHARGE OF CONSTRUCTION 15909
PRINT NAME PRINT NAME OF LOT OWNER
JAMES C. ABAD FASTRUCK.ENT
ADDRESS CABATANGAN, ZAMBOANGA CITY ADDRESS
SAN RAMON, ZAMBOANGA CITY
PTR NO. DATE ISSUED PLACE ISSUED COMMUNITY TAX CERT.
1642614 1/11/2018 ZC
PRINT NAME OF LOT OWNER
SIGNATURE SIGNATURE
REPUBLIC OF THE PHILIPPINES
OFFICE OF THE CITY/MUNICIPAL MAYOR
CITY OF ZAMBOANGA APPENDIX B
DO NOT FILL-UP (NSO USE ONLY)
APPLICATION NO. PERMIT NO.
BUILDING PERMIT
(FOR GOVERNMENT USE ONLY)
DATE OF APPLICATION DATE ISSUED
ORIGINAL RENEWAL
BOX 1 (TO BE ACCOMPLISHED BY DESIGNING ARCHITECH/CIVIL ENGINEER IN PRINT
OWNER Last Name First Name M.I. Tax Account No.
TAN ROY C.
FOR CONSTRUCTION OWNED FORM OF OWNERSHIP MAIN ECONOMIC ACTIVITY KIND OF BUSINESS
BY AN ENTERPRISE
ADDRESS TEL. NO.
LOCATION OF CONSTRUCTION
SCOPE OF WORK:
1. NEW CONSTRUCTION OTHERS (SPECIFY)
2. ADDITION OF ________ 6. ___________ of ___________
3. REPAIR OF _________ 7. ___________ of ___________
4. RENOVATION OF _____
5. DEMOLITION ________ Number of Units ___________
USE OR TYPE OF OCCUPANCY
RESIDENTIAL INDUSTRIAL
11 SINGLE 31 FACTORY/PLANT
12 DUPLEX 32 REPAIR SHOP, MACHINE SHOP
13 ROWHOUSE/ACCESORIA 33 REFINERY
10 OTHERS(SPEICFY) ___________________ 35 WAREHOUSE
30 OTHERS (SPECIFY)___________________
COMMERCIAL
21 BANK INSTITUTIONAL
22 STORE 41 SCHOOL
23 HOTEL/MOTEL, ETC. 42 CHURCH AND OTHER RELIGIOUS STRUCTURES
24 OFFICE CONDOMINIUM/BUSINESS OFFICE BUILDING 43 HOSPITAL OR SIMILAR STRUCTURES
25 RESTAURANT, ETC. 44 WELFARE AND CHARITABLE STRUCTURES
26 SHOP (e.g. DRESS SHOP, TAILORING SHOP, BARBER SHOP, ETC.) 45 THEATER, AUDITORIUM, GYMNASIUM, COURT
27 GASOLINE STATION 40 OTHERS (SPECIFY) ___________________
28 MARKET
29 DORMITORY OR THEIR LODGING HOUSE AGRICULTURAL
20 OTHERS (SPECIFY) ____________ 51 BARN(S) POULTRY HOUSE(S), ETC.
52 GRAIN MILL
OTHER TYPE OF OCCUPANCY 50 OTHERS (SPECIFY) ___________________
60 OTHERS (SPECIFY) ____________
STREET FURNITURE, LANDSCAPING & SIGNBOARDS
71 PARKS, PLAZA, MONUMENTS, POOLS, PLANT BOXES, ETC.
72 SIDEWALKS, PROMENADES, TERRACES, LAMPPOSTS, ELECTRIC POLES, TELEPHONE POLES, ETC.
73 OUTDOOR ADS, SIGNBOARDS, ETC.
74 FENCE CLOSURE
BOX 2 (TO BE ACCOMPLISHED BY THE RECEIVING & RECORDING SECTION)
BUILDING DOCUMENTS (FIVE SETS EACH)
SITE DEVELOPMENT AND LOCATION PLAN MECHANICAL PLANS & SPECIFICATIONS
ARCHITECTURAL PLAN & SPECIFICATION LOGBOOK (1 COPY)
STRUCTURAL DESIGN & COMPUTATIONS OTHERS (SPECIFY)___________________
SANITARY/PLUMBING PLANS & SPECIFICATIONS
ELECTRICAL PLLANS & SPECIFICATIONS
BOX 3 ( TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL)
Action Taken:
PERMIT IS HEREBY GRANTED SUBJECT TO THE FOLLOWING CONDITIONS:
1. THAT THE PROPOSED CONSTRUCTION/ADDITION/REPAIR/RENOVATION/
DEMOLITION/ INSTALLATION ETC. SHALL BE IN CONFORMITY WITH THE NATIONAL
BUILDING CODE (P.D. 1096) AND ITS CORRESPONDING IMPLEMENTING RULES AND
REGUALTIONS.
2. THAT A DULY LICENSED ARCHITECT/CIVIL ENGINEER HAS BEEN ENGAGED TO PREPARE
PLANS AND SPECIFICATIONS AND TO UNDERTAKE THE SUPERVISION/INSPECTION OF
THE CONSTRUCTION OF THE PROJECT.
3. THAT A CERTIFICATE OF COMPLETION DULY SIGNED AND SEALED BY THE DESIGNING
ARCHITECT/ENGINEER AND THE ARCHITECT/ENGINEER IN-CHARGE OF CONSTRCUTION
SHALL BE SUBMITTED NOT LATER THAN SEVEN (7) DAYS AFTER COMPLETION OF THE
CONSTRUCTION OF THE PROJECT.
4. THAT A "CERTIFICATE OF OCCUPANCY" SHALL BE SECURED PRIOR TO THE ACTUAL DATE
OCCUPANCY OF THE BUILDING.
NOTE:
THIS PERMIT MAY BE CANCELLED OR REVOKED PURSUANT TO SECTIONS 305 & 306 OF THE "NATIONAL BUILDING CODE."
To be accomplished in seven copies, one each for: applicant (original), Assessor, National Statistics Office, Building Official, Fire Department
