Temporary Sidewalk Enclosure and Occupancy Permit (Front)
Temporary Sidewalk Enclosure and Occupancy Permit (Front)
Temporary Sidewalk Enclosure and Occupancy Permit (Front)
B - 05
TEMPORARY SIDEWALK
ENCLOSURE AND OCCUPANCY PERMIT
LOCATION OF CONSTRUCTION: LOT NO. _______________ BLK NO. ________________ TCT NO. ______________________ TAX DEC. NO.___________________
SCOPE OF WORK
NEW CONSTRUCTION RENOVATION ________________________ DEMOLITION __________________________________
ERECTION CONVERSION ________________________ ACCESSORY BUILDING/STRUCTURE _____________
ADDITION REPAIR _____________________________ OTHERS (Specify) ______________________________
ALTERATION MOVING _____________________________ ______________________________________________
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
BOX 6
APPLICANT
(Signature Over Printed Name)
Date________________
CTC NO. DATE ISSUED PLACE ISSUED
TIN