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    Occupany

    Uploaded by

    Andre Najeal

    Copyright:

    © All Rights Reserved
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    Occupany

    Uploaded by

    Andre Najeal
    3 views1 page

    Copyright

    © © All Rights Reserved

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    Copyright:

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

    Occupany

    Uploaded by

    Andre Najeal

    Copyright:

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

    Republic of the Philippines

    City of Iloilo
    Province of Iloilo
    OFFICE OF THE BUILDING OFFICIAL

    UNIFIED APPLICATION FORM FOR CERTIFICATE OF OCCUPANCY


    FULL PARTIAL

    THIS ALSO APPLIES FOR: FIRE SAFETY INSPECTION CERTIFICATE

    Building Permit No.:________________


    Date Issued :________________
    FSEC No. :________________
    Date Issued :________________
    __________________________
    (Date)

    Name of Applicant/Owner:____________________________________________________________________
    (Last Name) (Given Name) (Middle Initial)
    Address of Applicant/Owner:__________________________________________________________________
    __________________________________________ ZIP Code:____________ Contact No.: _______________
    Requirements submitted:
    3 copies of Certificate of Completion, duly notarized
    Construction Logbook, signed and sealed by the Owner’s Architect or Civil Engineer who undertook Full-time
    Inspection and supervision
    4 copies As-Built Plans, signed and sealed by the Owner’s Architect or Civil Engineer who undertook full-time
    inspection and supervision
    1 photocopy of the valid licenses of all involved Professionals
    Captioned photographs of Site and Completed Building/Structure showing front, sides and rear areas,

    Name of Project: _____________________________________________________________________


    Location of Project: ___________________________________________________________________
    Use/Character of Occupancy: _________________________________
    No. of Storey/s: ____________________________________________
    No. of Units: _______________________________________________
    Total Gross Floor Area (Square Meters): ___________________________
    Date of Completion: _________________________________________

    “I UNDERTAKE that all information in this application is true and correct based on my personal knowledge
    and authentic records submitted to Office of the Building Official, IloiloCity. Any false or misleading
    information supplied or production of fake / falsified documents shall be grounds for appropriate legal action
    against me and automatically revokes the permit. I hereby agree that all personal data (as defined under the
    Data Privacy Law of 2012 and its Implementation Rules and Regulations) and account transaction
    information or records with the Local Government of Iloilo may be processed, profiled or shared to requesting
    parties or for the purpose of any court, legal process, examination, inquiry and audit or investigation of any
    authority.”

    ________________________________
    APPLICANT/OWNER
    (Signature Over Printed Name)
    Community Tax Certificate No. ____________________
    Date Issued:__________________________________
    Attested by: Place Issued: _________________________________

    FULL-TIME INSPECTOR OR SUPERVISOR OF CONSTRUCTION


    ARCHITECT or CIVIL ENGINEER
    (Signed and Sealed Over Printed Name)
    Date:_________________________
    PRC No: Validity:
    PTR No: Date Issued:
    Issued at: TIN:
    CTC NO: Date Issued: Issued at:

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