CERTIFICATE OF STRUCTURAL STABILITY

This is to certify that I personally inspected the

Owned by located at
With building permit No.
issued and Certificate of Occupancy No.
Issued .
As per inspection made on , I have found out that it complied with
structural requirement and provision of P.D. 1096 of the National Building Code of the Philippines.
Further, the structural framing of the stated structure consisting of beams, columns, and footings
are adequate enough to hold the whole structure, structurally safe and sound.
As to construction wise, physical feature and appearance of the structure shows good construction
method was employed and materials used were good quality and standard.
This Cettification is issued upon the request of the owner whatever legal purposes and shall held
invalid in case of addition, renovation/s, alteration and repair/s, move or add any building/structure of
any portion thereof from the time and date of inspection. (Section PD1096).
This Certification is valid for ten (10) years only.
Certified by:

PRC Lic. No.: PTR No. :

Issued On : Issued On:
Expires On : Issued at :

REPUBLIC OF THE PHILIPPINES)

CITY OF ))S.S

SUBSCRIBED AND SWORN TO before me this day of , 20 at

Affiant exhibiting to me his valid government-issued identification no.
Issued at and valid until .

Notary Public
Until 31 December 20
PTR No.
Issued at :
Issued on:
TIN No.
Doc. No.
Page No.
Book no.
Series of