NBC FORM NO.
B - 03
Republic of the Philippines
Department of Public Works & Highways
Pamahalaang Lungsod ng Heneral Santos
TANGGAPAN NG PINUNONG PANGGUSALI
(Office of the Building Official)
FENCING PERMIT
APPLICATION NO. FP 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
BY AN ENTERPRISE
ADDRESS: NO., STREET, BARANGAY, CITY/MUNICIPALITY ZIP CODE TELEPHONE NO
LOCATION OF CONSTRUCTION: LOT NO. _______________ BLK NO. ________________ TCT NO. ______________________ TAX DEC. NO.___________________
STREET___________________ BARANGAY ____________________________________________________ CITY/ MUNICIPALITY OF ______________________________
SCOPE OF WORK
NEW CONSTRUCTION REPAIR _________________________________ OTHERS (Specify) ______________________________
ERECTION DEMOLITION ____________________________
ADDITION
BOX 2 BOX 3
DESIGN PROFESSIONAL, PLANS AND SPECIFICATIONS FULL-TIME INSPECTOR AND SUPERVISOR OF CONSTRUCTION WORKS
Date___________ Date___________
ARCHITECT OR CIVIL ENGINEER ARCHITECT OR CIVIL ENGINEER
(Signed and Sealed Over Printed Name) (Signed and Sealed Over Printed Name)
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
BOX 6
APPLICANT
(Signature Over Printed Name)
C.T.C. No. DATE ISSUED PLACE ISSUED
TIN