NBC FORM NO.

B - 11
Republic of the Philippines
City/Municipality of ________________
Province of _________________________
OFFICE OF THE BUILDING OFFICIAL

APPLICATION FOR CERTIFICATE OF OCCUPANCY

FULL PARTIAL

Building Permit
No.:______________
Date Issued :______________

__________________________
(Date)
Name of Owner/Applicant:_____________________________________________________________________________
(Last Name) (Given Name) (Middle Initial)

Address of Owner/Applicant:______________________________________________________ ZIP Code:____________

_____________________________________________________________________________ Tel. No.: _____________
Requirements submitted:
Daily Construction Works Logbook Others: (Specify)
Certificate of Completion, duly notarized
Name of Project: ____________________________________________________________________________________
Location: __________________________________________________________________________________________
(Lot No.) (Blk. No.) (Street) (Barangay) (City/Municipality)
Submitted by:
__________________________________
OWNER / APPLICANT
(Signature Over Printed Name)

Community Tax Certificate No. ________________

Date Issued:_______________________________
Place Issued: ______________________________

NBC FORM NO. B - 11

Republic of the Philippines
City/Municipality of ________________
Province of _________________________
OFFICE OF THE BUILDING OFFICIAL

APPLICATION FOR CERTIFICATE OF OCCUPANCY

FULL PARTIAL

Building Permit
No.:______________
Date Issued :______________

__________________________
(Date)
Name of Owner/Applicant:_____________________________________________________________________________
(Last Name) (Given Name) (Middle Initial)

Address of Owner/Applicant:______________________________________________________ ZIP Code:____________

_____________________________________________________________________________ Tel. No.: _____________
Requirements submitted:
Daily Construction Works Logbook Others: (Specify)
Certificate of Completion, duly notarized
Name of Project: ____________________________________________________________________________________
Location: __________________________________________________________________________________________
(Lot No.) (Blk. No.) (Street) (Barangay) (City/Municipality)
Submitted by:
__________________________________
OWNER / APPLICANT
(Signature Over Printed Name)

Community Tax Certificate No. ________________

Date Issued:_______________________________
Place Issued: ______________________________