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    Bfp Mimaropa Santa Cruz
    This document is a fire safety evaluation clearance application form from the Bureau of Fire Protection in Sta. Cruz, Occidental Mindoro. It requests information about the project owner, title, location, and contact details. It lists required documents to be attached, including architectural, civil, electrical, mechanical, and fire protection plans. It notes that incomplete documents will be returned. The applicant certifies the information and document completeness. The form is to be filled out by BFP personnel to monitor the clearance process, with reminders that BFP employees are prohibited from selling or recommending fire extinguisher brands.

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    Fsec

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    Bfp Mimaropa Santa Cruz
    445 views1 page
    This document is a fire safety evaluation clearance application form from the Bureau of Fire Protection in Sta. Cruz, Occidental Mindoro. It requests information about the project owner, title, location, and contact details. It lists required documents to be attached, including architectural, civil, electrical, mechanical, and fire protection plans. It notes that incomplete documents will be returned. The applicant certifies the information and document completeness. The form is to be filled out by BFP personnel to monitor the clearance process, with reminders that BFP employees are prohibited from selling or recommending fire extinguisher brands.

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    This document is a fire safety evaluation clearance application form from the Bureau of Fire Protection in Sta. Cruz, Occidental Mindoro. It requests information about the project owner, title, location, and contact details. It lists required documents to be attached, including architectural, civil, electrical, mechanical, and fire protection plans. It notes that incomplete documents will be returned. The applicant certifies the information and document completeness. The form is to be filled out by BFP personnel to monitor the clearance process, with reminders that BFP employees are prohibited from selling or recommending fire extinguisher brands.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    445 views1 page

    Fsec

    Uploaded by

    Bfp Mimaropa Santa Cruz
    This document is a fire safety evaluation clearance application form from the Bureau of Fire Protection in Sta. Cruz, Occidental Mindoro. It requests information about the project owner, title, location, and contact details. It lists required documents to be attached, including architectural, civil, electrical, mechanical, and fire protection plans. It notes that incomplete documents will be returned. The applicant certifies the information and document completeness. The form is to be filled out by BFP personnel to monitor the clearance process, with reminders that BFP employees are prohibited from selling or recommending fire extinguisher brands.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    BUREAU OF FIRE PROTECTION

    MIMAROPA Region
    Province of Occidental Mindoro
    STA. CRUZ FIRE STATION
    Municipal Compound, Poblacion 2,
    Sta. Cruz, Occidental Mindoro
    09156031606
    09156031606 [email protected]
    [email protected]
    FSEC APPLICATION NUMBER

    FIRE SAFETY EVALUATION CLEARANCE APPLICATION FORM

    PROJECT OWNER
    PROJECT TITLE
    PROJECT LOCATION

    OWNER ADDRESS
    NAME OF CONTRACTOR/
    GENERAL CONTRACTOR
    AUTHORIZED REPRESENTATIVE
    (If applicant is not the owner)
    CONTACT NUMBER: EMAIL ADDRESS TOTAL FLOOR AREA (m2) NO. OF STOREY

    ATTACHED DOCUMENTARY REQUIREMENTS

    [ ] APPLICATION FORM FOR BUILDING PERMIT FROM THE OFFICE OF THE BUILDING OFFICIAL
    THREE (3) COMPLETE SETS OF THE FOLLOWING DOCUMENTS:
    [ ] ARCHITECTURAL DOCUMENTS [ ] PLUMBING DOCUMENTS
    [ ] CIVIL/STRUCTURAL DOCUMENTS [ ] ELECTRONICS DOCUMENTS
    [ ] ELECTRICAL DOCUMENTS [ ] SANITARY DOCUMENTS
    [ ] MECHANICAL DOCUMENTS [ ] FIRE PROTECTION PLAN
    [ ] PHOTOCOPIES OF VALID LICENSES OF
    INVOLVED PROFESSIONAL

    [ ] 1 SET OF ESTIMATED COST OF THE BUILDING TO BE CONSTRUCTED/RENOVATED/MODIFIED AS REFLECTED IN THE


    BILL OF MATERIALS INCLUDING LABOR COST SIGNED AND SEALED BY THE DESIGNER/CONTRACTOR AND DULY
    NOTARIZED

    NOTE: Incomplete documentary requirements will be returned to the applicant.


    I hereby certify the correctness of the information provided above and the completeness of the attached documents.

    ______________________________________________ __________________
    OWNER/AUTHORIZED REPRESENTATIVE’S SIGNATURE OVER PRINTED NAME DATE

    VERIFIED BY BFP-CRO: ____________________________ _____________/____________


    DATE/TIME

    FSEC MONITORING (To be filled-up by BFP Personnel only)


    CRO FCA FCCA C,FSES BPE C,FSES CMF/MFM CRO
    DATE: DATE: DATE: DATE: DATE: DATE: DATE: DATE:
    IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT IN OUT

    PAALALA: “MAHIGPIT NA IPINAGBABAWAL NG PAMUNUAN NG BUREAU OF FIRE PROTECTION SA MGA KAWANI NITO ANG MAGBENTA O
    MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER”
    “FIRE SAFETY IS OUR MAIN CONCERN”

    BFP-QSF-FSED-001 REV.01 (07.05.19)

    BUREAU OF FIRE PROTECTION


    MIMAROPA Region
    Province of Occidental Mindoro
    STA. CRUZ FIRE STATION
    Municipal Compound, Poblacion 2,
    Sta. Cruz, Occidental Mindoro
    09156031606
    09156031606 [email protected]
    m
    [email protected]
    FSECAPPLICATION NUMBER

    CLAIM STUB

    CERTIFIED BY:
    _______________________ ___________________
    CUSTOMER RELATION OFFICER DATE

    NOTE: Authorized Representative must present an Authorization Letter and Copy of Owner’s Identification Card
    PAALALA: “MAHIGPIT NA IPINAGBABAWAL NG PAMUNUAN NG BUREAU OF FIRE PROTECTION SA MGA KAWANI NITO ANG MAGBENTA O
    MAGREKOMENDA NG ANUMANG BRAND NG FIRE EXTINGUISHER”
    “FIRE SAFETY IS OUR MAIN CONCERN”

    BFP-QSF-FSED-001 REV.01 (07.05.19)

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