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    Mayor's Permit QC 2 - 2

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    Zachary Yap
    This document is a unified business permit application form for Bryce's Dimsum Delivery and Takeout Business. It provides details about the business such as its registration as a sole proprietorship, address, capital investment, number of employees, and line of business which is food retail of dimsum products. The applicant, Kenzo Alexander Yap Co, declares that the information provided is true and acknowledges penalties for false statements. Relevant city departments would then evaluate and verify compliance of required documents for a business permit.

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

    Mayor's Permit QC 2 - 2

    Uploaded by

    Zachary Yap
    2K views2 pages
    This document is a unified business permit application form for Bryce's Dimsum Delivery and Takeout Business. It provides details about the business such as its registration as a sole proprietorship, address, capital investment, number of employees, and line of business which is food retail of dimsum products. The applicant, Kenzo Alexander Yap Co, declares that the information provided is true and acknowledges penalties for false statements. Relevant city departments would then evaluate and verify compliance of required documents for a business permit.

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    Mayor's Permit QC 2_2

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    This document is a unified business permit application form for Bryce's Dimsum Delivery and Takeout Business. It provides details about the business such as its registration as a sole proprietorship, address, capital investment, number of employees, and line of business which is food retail of dimsum products. The applicant, Kenzo Alexander Yap Co, declares that the information provided is true and acknowledges penalties for false statements. Relevant city departments would then evaluate and verify compliance of required documents for a business permit.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views2 pages

    Mayor's Permit QC 2 - 2

    Uploaded by

    Zachary Yap
    This document is a unified business permit application form for Bryce's Dimsum Delivery and Takeout Business. It provides details about the business such as its registration as a sole proprietorship, address, capital investment, number of employees, and line of business which is food retail of dimsum products. The applicant, Kenzo Alexander Yap Co, declares that the information provided is true and acknowledges penalties for false statements. Relevant city departments would then evaluate and verify compliance of required documents for a business permit.

    Copyright:

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

    REPUBLIC OF THE PHILIPPINES

    QUEZON CITY
    BUSINESS PERMITS AND LICENSING DEPARTMENT
    Tel. no. 988-4242 (Loc. 8174 / 8282)

    UNIFIED BUSINESS PERMIT APPLICATION FORM


    NEW AMENDMENT To be filled-up by BPLD:
    Date of Receipt: ___________________________________
    RENEWAL SHORT TERM/SPECIAL PERMIT
    Tracking Number: _________________________________
    CLEARANCE FOR: ____________________________________ Business ID Number: _______________________________
    2023-2024
    FISCAL YEAR: _______________ Philippine Standard Industrial Code: __________________
    GENERAL INSTRUCTIONS:
    1. Accomplish the application form by ticking the appropriate boxes, typing, and/or printing (UPPER CASE/CAPITAL LETTER). All required data
    fields/information should be completely and clearly filled-out by the applicant.
    2. Please ensure that ALL required documents are properly attached and fill out ALL necessary information. Incomplete data on application form and/or
    requirements will be returned to the applicant / will not be processed.

    A. BASIC DOCUMENTARY REQUIREMENTS


    Proof of Business Registration (DTI for Sole Proprietorship/SEC for Corporations and Partnerships/CDA for Cooperatives)
    Locational Clearance (when applicable)
    Contract of Lease (if leased) or Tax Declaration (if owned)
    Occupancy Permit (when applicable)
    Sketch and photos of location of business (when applicable)

    B. BUSINESS INFORMATION AND REGISTRATION


    Please choose one: Sole Proprietorship Partnership Corporation Cooperative
    DTI / SEC / CDA Registration Number: 0911 Tax Identification Number (TIN): 456 888 888 00000

    Business Name: Bryce's Dimsum Delivery and Takeout Business


    Trade Name / Franchise (If applicable):
    155
    Main Office Address: House/Bldg. No._________ Name of Building____________________________ Block No.___________ Lot No._____________
    Street_______________________________
    Swallow Drive
    Barangay ___________________________
    Ugong Norte
    Subdivision___________________________
    Greenmeadows

    City/Municipality__________________________
    Quezon City Province_________________________
    Metro Manila ZIP Code_________________
    1110

    Telephone No.: (02) 8636 8876 Mobile No.: 63 915 959 6100 Email Address: magnus.cabilangan@mgcnewlife.ph
    (For Sole Proprietorship) Surname Given Name Middle Name Suffix

    Name of Owner: Co Kenzo Alexander Yap


    (For Corporations/ Cooperatives/ Surname Given Name Middle Name Suffix
    Partnerships)
    Name of President /
    Officer in Charge:
    Sex: Male Female For Corporation: Filipino _________ Foreign _________
    C. BUSINESS OPERATION
    Business Area (in sq. m.): 800 Time of Operation: Total No. of Employees in Establishment: No. of Employees No. of Delivery Vehicles (If applicable):
    Total Floor Area (in sq.m.): 800 9 A.M. - 5 P.M. Male: 0 Female: 0 0
    Residing within QC: ______ Van/Truck ______ Motorcycle
    Business Location Address: House/Bldg. No.________
    155 Name of Building_________________________ Block No._________ Lot No.___________
    Street_______________________________
    Swallow Drive Barangay ___________________________
    Ugong Norte Subdivision___________________________
    Greenmeadows

    City/Municipality__________________________
    Quezon City Province_________________________
    Metro Manila ZIP Code_________________
    1110

    Owned? Yes No, If Yes, Tax Declaration No. _____________________________ or Property Identification No. _________________________
    Total Capital Investment (Paid up Capital + Lease Expenses + Equipments): 63,350 PHP
    Do you have tax incentives from any Government Entity? Yes (Please attach a copy of your certificate) No
    Business Activity (Please check one): Main Office Branch Admin Office Only
    Equipment (If applicable)
    Line of Business Products / Services
    No. of Units Description Size
    Food Retailer Dimsum 4 Stove 30in x 25in x 36in

    3 Frying pan 12.5 in x 20 in x 2.5in

    1 Steamer 8in x 8in x 1.5in


    3 Tongs 12in x 2in x 1in
    3 Rice Cookers 18in x 15in x 15in
    3 Spatula 2in x 3in x 0.25in

    5 LPG cylinder 7in x 7in x 50in

    I DECLARE UNDER PENALTY OF PERJURY that all information in this application are true and correct based on my personal knowledge
    and authentic records submitted to the Quezon City Government. 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.

    Kenzo Alexander Yap Co


    ______________________________________________________
    SIGNATURE OF APPLICANT/OWNER OVER PRINTED NAME
    Business Owner
    _________________________________
    DESIGNATION / POSITION
    UNIFIED BUSINESS PERMIT APPLICATION FORM (PAGE 2 OF 2)
    I. Appropriate Department shall fill-up this section
    1. VERIFICATION OF DOCUMENTS
    COMPLIANCE
    DESCRIPTION OFFICE/AGENCY Remarks Evaluated by
    Y N NR
    Zoning Clearance
    CPDO
    SUP (When Applicable)

    Occupancy Permit
    Department of
    Mechanical
    Building Official
    Electrical

    Validation of the Proof of Ownership City Assessor’s


    or Authority to Use Office

    City Health
    Sanitary Permit/Health Clearance
    Department

    City Environmental Certificate EPWMD

    Market Clearance (For Stall Holders)


    Franchise To Operate MDAD
    (When Applicable)

    City Veterinary
    Veterinary Clearance
    Office

    Security Clearance DPOS

    Traffic Clearance TFTM

    Liquor Permit LLRB

    Valid Fire Safety Inspection Bureau of Fire


    Certificate Protection
    * NR – Not Required

    II. BUREAU OF FIRE PROTECTION SECTION (APPLICATION FOR FIRE SAFETY INSPECTION CERTIFICATE)

    TRACKING NO.: DATE:

    (TO BE FILLED UP BY APPLICANT/OWNER)

    Name of Applicant/Owner:

    Name of Business:

    Total Floor Area: Contact No.:

    Address of Establishment:

    Signature of Applicant/Owner

    Certified by:

    Time and Date Received:

    FIRE SAFETY INSPECTION


    FEE ASSESSMENT:

    Important Notice: As per Section 12 of the Implementing Rules and Regulations of the Fire Code of 2008, certain establishments (e.g. building lessors,
    fire, earthquake, and explosion hazard insurance companies, and vendors of firefighting equipment, appliances and devices) may be required to pay
    additional charges and fees other than the Fire Safety Inspection Fees. These additional charges shall be collected during inspection or in another
    process to be communicated by representatives of the Bureau of Fire Protection (BFP).

    KASAMA KA SA PAG-UNLAD

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