TRACKING NO Republic ofthe Philippines PROVINCE OF SOUTH COTABATO CITY OF GENERAL SANTOS Bee OFFICE OF THE CITY BUILDING OFFICIAL a FENCING PERMIT Se APPLICATION NO. FPO. BUILDING PERMIT NO. [BOX 1 (TO BE ACCOMPLISHED IN PRINT BY THE OWNERIAPPLICANT) OWNERAPPLICANT LAST NAME FIRSTNAME wi. [TN FOR CONSTRUCTION OWNED FORM OF OWNERSHIP USE OR GHARAGTER OF OCCUPANCY BY AN ENTERPRISE ‘ADDRESS. NO. ‘STREET BARANGAY CHVIMURICIPALITY ZIP CODE] TELEPHONE NO. TOGATION OF CONSTRUCTION: TOTO. BLKNO. TCT NO. TAXDEC NO, STREET BARANGAY CITYIMUNICIPALTY ‘SCOPE OF WORK NEW CONSTRUCTION REPAIR OTHERS (specify) ERECTION DEMOLITION ADDITION. ‘BOX? BOX ‘DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS FULL-TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION WOKRS CIVIL ENGINEER Si ENGINEER (Sioned And Sealed Over Printed Name) (Signed And Sealed Over Printed Name) Date Date Toss arose PRETO, rakaiy PRC No- ality PIRNe Date Issued PTRTo. Date Issued Tug at Ti Baved at Tir ‘BOX 4 (TO BE ACCOMPLESHED BY THE APPLICANT) ‘BUILDING OWNER WITH MY CONSENT LOT OWNER (Signature Over Printed Name) (Signature Over Printed Name) Date Date Aes favors Tisense No Date sued Place Issued Tisense No Dae sued Place sued BOXS REPUBLIG OF THE PHILPPINES vss CITYIMUNICIPALITY OF BEFORE ME, At the City/Municipalty of on porsonally appeared the folowing FERICANT TEBE Dato baned Place Issued LICENSED ARCHITECT OR CIVIL ENGINEER. Dale Beued Place Issued (Full-Time Inspector and Supervisor of Fencing ‘whose signatures appear herein above, known to me to be the same persons who executed this standard prescribed form ‘and acknowledged 1o me thatthe seme is ther free and voluntary act and deed WITHESS MY HANID AND SEAL on the dato and placo abave written Peete "NOTARY PUBLIC (Until December)OX 6 (TO BE ACCOMPLISHED BY THE DESIGN PROFESSIONAL) MEASUREMENTS: LENGTH IN METERS: ‘TYPE OF FENCING: INDIGENOUS MATERIALS RG. Ronnorved Concrete) RG. (and CONG, HOLLOW RC. And Bricks HEIGHT mL METERS: RCSTEEL MATTING RC. BARBED WRE [5 omens csrects [Je ang inrerunwcycLone ‘BOX (TO BE ACCOMPLISHED BY THE PROCESSING AND EVALUATION DIVISION) PROGRESS FLOW mn our PROCESSED BY: DATE TIME DATE Tne LINE ANID GRADE (GEODETIC) ‘CIILISTRUCTURE ELECTRICAL, OTHERS (Spec) ‘ASSESSED FEES ‘AMOUNT DUE ORNUMBER DATE PAID PROCESSED BY LINE AND GRADE (GEODETIC) FENCING ELECTRICAL Han) OTHERS (Specify) ‘BOX 8 (TO BE ACCOMPLISHED BY THE BUILDING OFFICIAL) [ACTION TAKEN PERMIT IS HEREB ISSUEDIGRANTED SUBJECT TO THE FOLLOW 1. That under Article 1723 of the Civil Code ofthe Philippines, the ground. The engineer or archatect who supervises the con: to defect inthe constuction or the use of inesor materials, 2 Thal the proposed construtionforetion/addition, ote. Shall bo its implementing Rules and Regulation. licensed Geodetic Engineer. >. That before commencing the excavation tne person maki ©. Thal the oumer ofthe fence shall engage the services: Inspections and supervision of the construction work 4. That mero shal ba kopt a tho jobsto ata mos a logbook PERMIT ISSUED BY: (signatu Date ING CONDITIONS: the engineer or architect who drew up the plans and specification is lable for damages # witin fteen (15) years rom the competion of the structure, i should colapse die to defect in the plans or speeifeaions or defects in 'stuton shall be soldanty liable withthe contractor should the edifice collapse due in conformity with the provisions of tho "National Bulding Cod" (P-D. 1096) and 4 That prior to commencement oF the proposed projects and construction an actual relocation Survey shall be conducted by responsible ing or causing the excavation to be made verity in wring the ower of adjoning bulging not less than ten (10) years before such excavation isto made Cf responsible licensed Architect or Civil Engenner to undertake the ful time %k Whore the actual progress of constuction Including test conductad, woather concen and other pertinent data are tobe recorded, same shall bemade available for serutny and comments by the OBO representative ‘uring the conduct of hisher inspection pursuant to Section 207 ofthe National CITY BUILDING OFFICIAL, re Over Painted Mame)