BUILDING FITNESS CERTIFICATE

1. Inspector Name

: .

2. Building Name

: .

3. Building Permit No

: .

4. Address

: .
.

5. Description / Classification of Building

: .

6. Owner

: .

7. Period for which the certification is issued

: .

8. Nature of Defects, if any

a. Foundations & Basement

: .

b. Superstructure

: .

c. Doors & Windows

: .

d. Wood work

: .

e. Roof

: .

f. Flooring

: .

g. Miscellaneous (Crack, etc)

: .

9. Any Major Defects noticed which will

render the building unsafe in any manner

: .

10.Whether maintenance works have been

done properly

: .

11.Whether the structure is sound or not for

Occupancy

: .

CERTIFICATE
It is certified that the Building was inspected by me on . and
found to be fit/ until for occupancy, for the period of . For the reasons stated
above.

Place:
Date:

Building Inspection Engineer