Application Form For Certificate of Occupancy - Revised

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Republic of the Philippines

City of Bacoor
Province of Cavite

APPLICATION FORM FOR CERTIFICATE OF OCCUPANCY


FULL PARTIAL
SIMPLE COMPLEX

Building Permit No.:________________


Date Issued :________________
FSEC No. :________________
Date Issued :________________
__________________________
(Date)

Name of Owner/Permittee:_____________________________________________________________
(Last Name) (Given Name) (Middle Initial)

Address of Owner/Permittee:_______________________________________ ZIP Code:____________


______________________________________________________________ Tel. No.: _____________
Requirements submitted:
Filled-out Unified Application Form for Certificate of Occupancy
3 copies of Certificate of Completion, duly notarized
Construction Logbook, signed and sealed by the Owner’s
Architect or Civil Engineer who undertook full-time inspection and
supervision
1 photocopy of the valid licenses of all involved Professionals
Photograph of the completed structure showing front, sides,
and rear areas
Yellow Card issued by Electrical Service Provider

Name of Project: _____________________________________________________________________


Location of Project: ___________________________________________________________________

Use/Character of Occupancy: _________________________________


No. of Storey/s: _____________________________________________
No. of Units: _______________________________________________
Total Floor Area (Square Meters): ________________________________
Date of Completion: _________________________________________
Submitted by:
__________________________________
OWNER / PERMITTEE
(Signature Over Printed Name)
Community Tax Certificate 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_________________________
PRC No. Validity
PTR No. Date Issued
Issued at TIN
CTC No. Date Issued Issued at

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