FORM NO.

: ZDDC 41
ZD-DC-F-41, Issue 4, Rev 0, Dated 25/12/2012
Page 1 of 1

FIT-OUT PERMIT INITIATION APPLICATION

BUILDING OWNER:
PROJECT:
LOCATION: PLOT NO.:

Building owner shall provide DTMFZA Zoning Division with the fit-out coordinator and facilities management contact details when
initiating fit out works for the building. DTMFZA Zoning Division will maintain in its records the provided information as one time
building fit-out details. Any change in this information has to be notified to the DTMFZA Zoning Division.


FIT-OUT COORDINATORS DETAIL:
BUILDING OWNER TO APPOINT FIT-OUT COORDINATOR TO CARRY OUT THE TECHNICAL MANAGEMENT OF THE FIT OUT WORKS.
e.g. FIT OUT DESIGN, AS-BUILT DRAWINGS, LIAISON WITH DTMFZA ZONING DIVISION AND RELEVANT AUTHORITIES.
COMPANY NAME: CONTACT NAME:
MOB: EMAIL:
TEL: FAX: SIGNATURE:


FACILITIES MANAGEMENT OPERATORS DETAIL:
BUILDING OWNER TO APPOINT FM OPERATOR TO OVERSEE ADMINSTRATIVE ACTIVITIES DURING THE EXECUTION OF FIT OUT WORKS.
e.g. WORK TIMINGS, ACCESS PASSES, etc
COMPANY NAME: CONTACT NAME:
MOB: EMAIL:
TEL: FAX: SIGNATURE:

DOCUMENTS REQUIRED
1. BUILDING TAKING OVER CERTIFICATE OR BUILDING COMPLETION CERTIFICATE
2. MAIN CONSULTANTS / MAIN CONTRACTORS UNDERTAKING LETTER (IF BUILDING COMPLETION CERTIFICATE IS NOT ISSUED)
3. COPY OF BUILDING OWNERS / LANDLORDS VALID PMS LICENSE (IF APPLICABLE)

REQUESTOR DETAILS (BUILDING OWNER)
CONTACT NAME: DATE:
MOB: EMAIL:
TEL: FAX: SIGNATURE & STAMP:


FOR DTMFZA ZONING DIVISION USE

FIT-OUT INITIATION REF.#:.
COMMENT(S):


RECEIVED BY:
NAME: SIGNATURE: DATE:


STAMP