Professional Documents
Culture Documents
1 Application For Building Permit Final
1 Application For Building Permit Final
BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE APPLICANT) DO NOT FILL-UP (NSO USE ONLY)
OWNER/APPLICANT LAST NAME FIRST NAME M.I. TIN
BY AN ENTERPRISE
ADDRESS NO. STREET, BARANGAY, CITY/MUNICIPALITY ZIP CODE TELEPHONE NO.
LOCATION OF CONSTRUCTION: LOT NO. _________ BLK NO. __________ TCT NO. __________ TAX DEC. NO _____________
STREET ___________________ BARANGAY _____________________________ CITY/MUNICIPALITY OF _____________________________
SCOPE OF WORK
NEW CONSTRUCTION RENOVATION ______________ DEMOLITION ____________________________
TOTAL FLOOR AREA _________________ SQUARE METERS EXPECTED DATE OF COMPLETION __________________________
BOX 2
FULL-TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION WORKS (REPRESENTING THE OWNER)
Address
__________________________________________
PRC No. Validity
ARCHITECT OR CIVIL ENGINEER PTR No. Date Issued
(Signal and Sealed Over Printed Name)
Issued at TIN
BOX 3 BOX 4
APPLICANT: WITH MY CONSENT: LOT OWNER
__________________________________________________________ __________________________________________________________
(Signature Over Printed Name) (Signature Over Printed Name)
Address Address
CTC No Date Issued Place Issued CTC No Date Issued Place Issued
BOX 5
whose signatures appear hereinabove, known to me to be the same persons who executed this standard prescribed form and acknowledged to me that the same is their
free and voluntary act and deed.
WITNESS MY HAND AND SEAL on the date and place above written.
Doc. No. ________
Page No. ________ _____________________________________________
Book No. ________ NOTARY PUBLIC (Until December ___________)
Series of ________
BOX 6 (SUBMITTALS TO BE CHECKED, RECEIVED AND RECORDED)
(FIVE (5) SETS EACH OF BUILDING DOCUMETNS SIGNED & SEALED BY A DULY LICENSED PROFESSIONAL OF RESPECTIVE DISCIPLINES)
PROCESSING FE
________________________________________________ ________________________________________________
CHIEF, PROCESSING AND EVALUATION DIVISION CHIEF, INSPECTION AND ENFORCEMENT DIVISION
(Signature Over Printed Name) (Signature Over Printed Name)
Date ____________________ Date ____________________