NBC FORM NO.
B - 02
Republic of the Philippines
City/Municipality of CABADBARAN
Province of AGUSAN DEL NORTE
OFFICE OF THE BUILDING OFFICIAL
EXCAVATION AND GROUND PREPARATION PERMIT
APPLICATION NO. EGPP NO BUILDING PERMIT NO.
BOX 1 (TO BE ACCOMPLISHED BY THE OWNER/APPLICANT)
OWNER/APPLICANT LAST NAME FIRST NAME M.I. TIN
FOR CONSTRUCTION OWNED FORM OF OWNERSHIP USE OR CHARACTER OF OCCUPANCY
BY AN ENTERPRISE
ADDRESS: NO., STREET, BARANGAY, CITY/MUNICIPALITY ZIPCODE TELEPHONE NO
LOCATION OF CONSTRUCTION: LOT NO. __________ BLK NO. ____________TCT NO. _______________ TAX DEC. NO. _____________
STREET__________________ BARANGAY __________________________________ CITY/ MUNICIPALITY ____________________________
SCOPE OF WORK
NEW CONSTRUCTION RENOVATION OTHERS (Specify)
ERECTION REPAIR
ADDITION
USE OR CHARACTER OF OCCUPANCY
GROUP F : INDUSTRIAL OTHERS (Specify) ___________________
GROUP A : RESIDENTIAL, DWELLINGS
GROUP G : INDUSTRIAL STORAGE AND HAZARDOUS
GROUP B : RESIDENTIAL HOTEL, APARTMENT
GROUP H : RECREATIONAL, ASSEMBLY OCCUPANT LOAD LESS THAN 1000
GROUP C : EDUCATIONAL, RECREATIONAL
GROUP I : RECREATIONAL, ASSEMBLY OCCUPANT LOAD 1000 OR MORE
GROUP D : INSTITUTIONAL
GROUP J : AGRICULTURAL, ACCESSORY
GROUP E : BUSINESS AND MERCANTILE
BOX 2 BOX 3
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS FULL-TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION WORKS
ARCHITECT OR CIVIL ENGINEER ARCHITECT OR CIVIL ENGINEER
(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
Date______________________ Date_____________________
Address Address
PRC. No Validity PRC. No Validity
PTR. No Date Issued PTR. No Date Issued
Issued at TIN Issued at TIN
BOX 4 BOX 5
BUILDING OWNER WITH MY CONSENT: LOT OWNER
(Signature Over Printed Name) (Signature Over Printed Name)
Date_________________ Date________________
Address Address
C.T.C. No. Date Issued Place Issued C.T.C. No. Date Issued Place Issued