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    FSED 1F Application Form FSEC For Building Permit Rev02

    Uploaded by

    Jean Tronco
    This document is an application form for a Fire Safety Evaluation Clearance from the Bureau of Fire Protection. It requests information about the project owner, title, location, contact details, as well as the total floor area and number of storeys. Documentation that must be attached includes architectural, plumbing, structural, electrical, mechanical, sanitary, and fire protection documents. It also requires a Fire Safety Compliance Report, cost estimates signed by the designer/contractor, and a fire safety clearance for hot work operations if needed. The applicant certifies the accuracy and completeness of the information and documents. BFP personnel sections are for monitoring and verification of the application.

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

    FSED 1F Application Form FSEC For Building Permit Rev02

    Uploaded by

    Jean Tronco
    264 views1 page
    This document is an application form for a Fire Safety Evaluation Clearance from the Bureau of Fire Protection. It requests information about the project owner, title, location, contact details, as well as the total floor area and number of storeys. Documentation that must be attached includes architectural, plumbing, structural, electrical, mechanical, sanitary, and fire protection documents. It also requires a Fire Safety Compliance Report, cost estimates signed by the designer/contractor, and a fire safety clearance for hot work operations if needed. The applicant certifies the accuracy and completeness of the information and documents. BFP personnel sections are for monitoring and verification of the application.

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    FSED-1F-Application-Form-FSEC-for-Building-Permit-Rev02 (1)

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    This document is an application form for a Fire Safety Evaluation Clearance from the Bureau of Fire Protection. It requests information about the project owner, title, location, contact details, as well as the total floor area and number of storeys. Documentation that must be attached includes architectural, plumbing, structural, electrical, mechanical, sanitary, and fire protection documents. It also requires a Fire Safety Compliance Report, cost estimates signed by the designer/contractor, and a fire safety clearance for hot work operations if needed. The applicant certifies the accuracy and completeness of the information and documents. BFP personnel sections are for monitoring and verification of the application.

    Copyright:

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

    FSED 1F Application Form FSEC For Building Permit Rev02

    Uploaded by

    Jean Tronco
    This document is an application form for a Fire Safety Evaluation Clearance from the Bureau of Fire Protection. It requests information about the project owner, title, location, contact details, as well as the total floor area and number of storeys. Documentation that must be attached includes architectural, plumbing, structural, electrical, mechanical, sanitary, and fire protection documents. It also requires a Fire Safety Compliance Report, cost estimates signed by the designer/contractor, and a fire safety clearance for hot work operations if needed. The applicant certifies the accuracy and completeness of the information and documents. BFP personnel sections are for monitoring and verification of the application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    BUREAU OF FIRE PROTECTION

    (Region)
    (District/Provincial Office)
    (Station)
    (Station Address) (Station Number) (Station Email)
    FSEC APPLICATION NUMBER

    FIRE SAFETY EVALUATION CLEARANCE APPLICATION FORM

    PROJECT OWNER
    PROJECT TITLE
    PROJECT LOCATION

    OWNER ADDRESS
    NAME OF CONTRACTOR/
    GENERAL CONTRACTOR
    AUTHORIZED REPRESENTATIVE

    TOTAL FLOOR AREA (M2) : NO. OF STOREY :

    CONTACT NUMBER : EMAIL ADDRESS:

    ATTACHED DOCUMENTARY REQUIREMENTS

    [ ] THREE (3) COMPLETE SETS OF THE FOLLOWING (PROPOSED PLAN):


    [ ] ARCHITECTURAL DOCUMENTS [ ] PLUMBING DOCUMENTS
    [ ] CIVIL/STRUCTURAL DOCUMENTS [ ] ELECTRONICS DOCUMENTS
    [ ] ELECTRICAL DOCUMENTS [ ] SANITARY DOCUMENTS
    [ ] MECHANICAL DOCUMENTS [ ] FIRE PROTECTION DOCUMENTS
    [ ] ONE (1) SET OF FIRE SAFETY COMPLIANCE REPORT (FSCR) (IF NECESSARY)
    [ ] ONE (1) SET OF COST ESTIMATES OF THE BUILDING INCLUDING LABOR COST SIGNED AND SEALED BY THE
    DESIGNER/CONTRACTOR DULY NOTARIZED
    [ ] FIRE SAFETY CLEARANCE FOR WELDING, CUTTING, AND OTHER HOT WORK OPERATIONS (IF REQUIRED)

    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 CFM/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.02 (08.24.20)

    BUREAU OF FIRE PROTECTION


    (Region)
    (District/Provincial Office)
    (Station)
    (Station Address) (Station Number) (Station Email)
    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.02 (08.24.20)

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