Unified Ocuupancy Permit Form
Unified Ocuupancy Permit Form
Unified Ocuupancy Permit Form
Building Permit
No:
Date Issued:
FSEC No:
Date Issued: 2023-01-12
(DATE)
Name of Applicant/Owner:
(Last Name) (Given Name) (Middle Initial)
Address of
Applicant/Owner
Requirements submitted:
Construction Logbook, signed and sealed by the Owner's Architect or Civil Engineer
who undertook full-time inspection and supervision
As-Built Plans, signed and sealed by the Owner's Architect or Civil Engineer who
undertook full-time inspection and supervision
Location of
Project:
Use/Character of
Occupancy:
No. of Storey/s:
No. of Units:
Date of Completion:
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DBO 1/12/23, 2:37 PM
Submitted by;
APPLICANT/OWNER
(Signature Over Printed Name)
Community Tax CertiXcate No.
Date Issued
Place Issued
Attested by;
FULL-TIME INSPECTOR OR SUPERVISOR OF
CONSTRUCTION
ARCHITECT OR CIVIL ENGINEER
(Signed and Sealed Over Printed Name)
Date 2023-01-12
PRC No. : Validity :
PTR No. : Date Issued :
Issued at TIN
CTC No Date Issued Issued at
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