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This document is a fire safety evaluation clearance application form from the Bureau of Fire Protection in Sta. Cruz, Occidental Mindoro. It requests information about the project owner, title, location, and contact details. It lists required documents to be attached, including architectural, civil, electrical, mechanical, and fire protection plans. It notes that incomplete documents will be returned. The applicant certifies the information and document completeness. The form is to be filled out by BFP personnel to monitor the clearance process, with reminders that BFP employees are prohibited from selling or recommending fire extinguisher brands.

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Bfp Mimaropa Santa Cruz
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685 views1 page

Fsec

This document is a fire safety evaluation clearance application form from the Bureau of Fire Protection in Sta. Cruz, Occidental Mindoro. It requests information about the project owner, title, location, and contact details. It lists required documents to be attached, including architectural, civil, electrical, mechanical, and fire protection plans. It notes that incomplete documents will be returned. The applicant certifies the information and document completeness. The form is to be filled out by BFP personnel to monitor the clearance process, with reminders that BFP employees are prohibited from selling or recommending fire extinguisher brands.

Uploaded by

Bfp Mimaropa Santa Cruz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BUREAU OF FIRE PROTECTION

MIMAROPA Region
Province of Occidental Mindoro
STA. CRUZ FIRE STATION
Municipal Compound, Poblacion 2,
Sta. Cruz, Occidental Mindoro
09156031606
09156031606 [email protected]
[email protected]
FSEC APPLICATION NUMBER

FIRE SAFETY EVALUATION CLEARANCE APPLICATION FORM

PROJECT OWNER
PROJECT TITLE
PROJECT LOCATION

OWNER ADDRESS
NAME OF CONTRACTOR/
GENERAL CONTRACTOR
AUTHORIZED REPRESENTATIVE
(If applicant is not the owner)
CONTACT NUMBER: EMAIL ADDRESS TOTAL FLOOR AREA (m2) NO. OF STOREY

ATTACHED DOCUMENTARY REQUIREMENTS

[ ] APPLICATION FORM FOR BUILDING PERMIT FROM THE OFFICE OF THE BUILDING OFFICIAL
THREE (3) COMPLETE SETS OF THE FOLLOWING DOCUMENTS:
[ ] ARCHITECTURAL DOCUMENTS [ ] PLUMBING DOCUMENTS
[ ] CIVIL/STRUCTURAL DOCUMENTS [ ] ELECTRONICS DOCUMENTS
[ ] ELECTRICAL DOCUMENTS [ ] SANITARY DOCUMENTS
[ ] MECHANICAL DOCUMENTS [ ] FIRE PROTECTION PLAN
[ ] PHOTOCOPIES OF VALID LICENSES OF
INVOLVED PROFESSIONAL

[ ] 1 SET OF ESTIMATED COST OF THE BUILDING TO BE CONSTRUCTED/RENOVATED/MODIFIED AS REFLECTED IN THE


BILL OF MATERIALS INCLUDING LABOR COST SIGNED AND SEALED BY THE DESIGNER/CONTRACTOR AND DULY
NOTARIZED

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 CMF/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.01 (07.05.19)

BUREAU OF FIRE PROTECTION


MIMAROPA Region
Province of Occidental Mindoro
STA. CRUZ FIRE STATION
Municipal Compound, Poblacion 2,
Sta. Cruz, Occidental Mindoro
09156031606
09156031606 [email protected]
m
[email protected]
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.01 (07.05.19)

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