Please enable JavaScript in your browser to complete this form.Type of Application *NewRenewalAmendatoryOwner/Applicant DetailName *FirstMiddleLastTax Identification Number (TIN) *Form of OwnershipAddressAddress Line 1Address Line 2CityState / Province / RegionLocation of ConstructionLot No.Blk No.TCT No.Tax Dec. No.SCOPE OF WORKChoose Scope of WorkNew ConstructionErectionAdditionAlterationRenovationConversionRepairMovingRaisingAccessory Building/StructureOthers (please specify)SpecifyPlease SpecifyUSE OR CHARACTER OF OF OCCUPANCYCheckboxesGROUP A: RESIDENTIAL, DWELLINGSGROUP B : RESIDENTIAL HOTEL, APARTMENTGROUP C : EDUCATIONAL, RECREATIONALGROUP D : INSTITUTIONALGROUP E : BUSINESS AND MERCANTILEGROUP F : INDUSTRIALGROUP G : INDUSTRIAL STORAGE AND HAZARDOUSGROUP H : RECREATIONAL, ASSEMBLY OCCUPANT LOAD LESS THAN 1000GROUP I : RECREATIONAL, ASSEMBLY OCCUPANT LOAD 1000 OR MORE GROUP J : AGRICULTURAL, ACCESSORYOTHERS (Specify)OCCUPANCY CLASSIFIEDTOTAL ESTIMATED COST (Php.)NUMBER OF UNITSPROPOSED DATE OF CONSTRUCTIONTOTAL FLOOR AREA (sq.m.)EXPECTED DATE OF COMPLETIONLOT AREA (sq.m.)FULL-TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION WORKS (REPRESENTING THE OWNER)SIGNATURE OF ARCHITECT OR CIVIL ENGINEERClear SignatureName *FirstMiddleLastDate AddressPRC No.ValidityPTR No.Date Issued Issued at TINIs the Applicant the Lot Owner?YesNoAPPLICANT:Signature of ApplicantClear SignatureName *FirstMiddleLastDate *AddressCTC No.DatePlace IssuedAUTHORIZED REPRESENTATIVELOT OWNER / AUTHORIZED REPRESENTATIVEClear SignatureName *FirstMiddleLastDate *AddressCTC No.DatePlace IssuedSubmit
