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    Building Permit Forms

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    ysvda
    This document is an application form for a building permit from the City of Maasin in the Province of Southern Leyte in the Philippines. It collects information about the owner, location of construction, scope of work, use or occupancy, estimated costs, dates, supervising architect or engineer, and lot owner consent. It also lists the basis for assessed fees and total amount due. The terms and conditions specify that the owner must fill out the form with assistance from design professionals, submit it with required plans and permits, and that professionals are responsible for ensuring compliance with building codes.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Building Permit Forms

    Uploaded by

    ysvda
    83 views2 pages
    This document is an application form for a building permit from the City of Maasin in the Province of Southern Leyte in the Philippines. It collects information about the owner, location of construction, scope of work, use or occupancy, estimated costs, dates, supervising architect or engineer, and lot owner consent. It also lists the basis for assessed fees and total amount due. The terms and conditions specify that the owner must fill out the form with assistance from design professionals, submit it with required plans and permits, and that professionals are responsible for ensuring compliance with building codes.

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    This document is an application form for a building permit from the City of Maasin in the Province of Southern Leyte in the Philippines. It collects information about the owner, location of construction, scope of work, use or occupancy, estimated costs, dates, supervising architect or engineer, and lot owner consent. It also lists the basis for assessed fees and total amount due. The terms and conditions specify that the owner must fill out the form with assistance from design professionals, submit it with required plans and permits, and that professionals are responsible for ensuring compliance with building codes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    83 views2 pages

    Building Permit Forms

    Uploaded by

    ysvda
    This document is an application form for a building permit from the City of Maasin in the Province of Southern Leyte in the Philippines. It collects information about the owner, location of construction, scope of work, use or occupancy, estimated costs, dates, supervising architect or engineer, and lot owner consent. It also lists the basis for assessed fees and total amount due. The terms and conditions specify that the owner must fill out the form with assistance from design professionals, submit it with required plans and permits, and that professionals are responsible for ensuring compliance with building codes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Republic of the Philippines

    City of Maasin
    Province of Southern Leyte

    APPLICATION FORM FOR BUILDING PERMIT


    SIMPLE COMPLEX

    NEW RENEWAL AMENDATORY

    APPLICATION NO. AREA NO.

    BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE APPLICANT)


    OWNER / APPLICANT LAST NAME FIRST NAME M.I. TIN DO NOT FILL-UP (PSA USE ONLY)

    FOR CONSTRUCTION OWNED FORM OF OWNERSHIP


    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 RAISING
    ERECTION CONVERSION ACCESSORY BUILDING/STRUCTURE
    ADDITION REPAIR OTHERS (Specify)
    ALTERATION MOVING
    USE OR CHARACTER OF OCCUPANCY
    GROUP A : RESIDENTIAL, DWELLINGS GROUP F : INDUSTRIAL OTHERS (Specify) ________________
    GROUP B : RESIDENTIAL HOTEL, APARTMENT GROUP G : INDUSTRIAL STORAGE AND HAZARDOUS
    GROUP C : EDUCATIONAL, RECREATIONAL GROUP H : RECREATIONAL, ASSEMBLY OCCUPANT LOAD LESS THAN 1000
    GROUP D : INSTITUTIONAL GROUP I : RECREATIONAL, ASSEMBLY OCCUPANT LOAD 1000 OR MORE
    GROUP E : BUSINESS AND MERCANTILE GROUP J : AGRICULTURAL, ACCESSORY

    OCCUPANCY CLASSIFIED _________________________________________ TOTAL ESTIMATED COST P __________________________________


    NUMBER OF UNITS_______________________________________________ PROPOSED DATE OF CONSTRUCTION _________________________
    TOTAL FLOOR AREA ______________________________ SQUARE METERS IF CONSTRUCTION WAS UNDERTAKEN BY CONTRACT:
    LOT AREA _______________________________________ SQUARE METERS

    _____________________________________________________
    AUTHORIZED MANAGING OFFICER
    (Signature Over Printed Name)
    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
    (Signed and Sealed Over Printed Name)
    Date_____________________________ Issued at TIN

    BOX 3 BOX 4
    APPLICANT: WITH MY CONSENT: LOT OWNER / AUTHORIZED REPRESENTATIVE

    Date______________ Date______________
    (Signature Over Printed Name) (Signature Over Printed Name)
    Address Address
    CTC No Date Issued Place Issued CTC No Date Issued Place Issued
    BOX 5
    REPUBLIC OF THE PHILIPPINES ) S.S
    CITY/MUNICIPALITY OF _________________________________________)
    BEFORE ME, at the City/Municipality of _____________________________________________________ , on _________________________ personally appeared
    the following:
    ______________________________________________________ _______________ ______________ ___________________________________________
    APPLICANT C.T.C. No. Date Issued Place Issued

    ______________________________________________________ _______________ ______________ ___________________________________________


    LICENSED ARCHITECT OR CIVIL ENGINEER C.T.C. No. Date Issued Place Issued
    (Full-Time Inspector and Supervisor of Construction Works)
    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 ________

    Copy 1: Owner Copy 2: OBO Copy 3: BFP Copy 4: Philippine Statistics Authority
    BOX 6 (TO BE ACCOMPLISHED BY THE PROCESSING AND EVALUATION DIVISION)

    BASIS OF AMOUNT
    ASSESSED FEES ASSESSED BY
    ASSESSMENT DUE
    FILING FEE

    PROCESSING FEE

    LOCATIONAL / ZONING OF LAND


    USE

    LINE AND GRADE (Geodetic)

    FENCING

    ARCHITECTURAL

    CIVIL / STRUCTURAL

    ELECTRICAL

    MECHANICAL

    SANITARY

    PLUMBING

    ELECTRONICS

    INTERIOR

    FIRE CODE CONSTRUCTION TAX

    SURCHARGES

    PENALTIES

    TOTAL

    TERMS AND CONDITIONS


    1. The Owner/Permittee shall accomplish the prescribed Application Form, with the assistance of the concerned
    design professional/s and/or the Architect/Civil Engineer, hired/commissioned by the Owner/Permittee as full-time
    inspector/supervisor of the construction works, by filling up the necessary data / information required thereat.

    2. The fully accomplished prescribed Application Form, duly notarized, shall be submitted to the concerned Office of
    the Building Official accompanied by the various applicable ancillary and accessory permits, plans and
    specifications signed and sealed by the corresponding design professionals who shall be responsible for the
    comprehensive and correctness of the plans in compliance to the National Building Code (PD 1096), its IRR and
    to all applicable referral codes and professional regulatory laws, together with the other documentary
    requirements pursuant to Section 302 of PD 1096 and its IRR.

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