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NBC FORM NO.

B - 14

SUBMITTED THE FOLLOWING AS REQUIRED


_______________________ REPUBLIC OF THE PHILIPPINES
DATE SUBMITTED CITY/MUNICIPALITY OF____________
PROVINCE OF _____________________
CERTIFICATE OF COMPLETION AS-BUILT PLANS/SPECIFICATIONS OFFICE OF THE BUILDING OFFICIAL
DAILY CONSTRUCTION WORKS LOGBOOK (SPECIFY)_________________________

A CERTIFICATE OF COMPLETION SUBMITTED BY_________________________________ CERTIFICATE OF USE


(NAME)
A DULY LICENSED___________________________________________HIRED BY THE OWNER WHO NO___________________________________
(PROFESSIONAL) FEE PAID_____________________________
UNDERTOOK THE FULL TIME INSPECTION AND SUPERVISION OF CONSTRUCTION WORKS IN OFFICIAL RECEIPT NO_________________
DATE PAID____________________________
ACCORDANCE WITH SECTION 308, CHAPTER 3 OF THE NATIONAL BUILDING CODE (PD 1096), AND
_______________________________
THAT THE CONSTRUCTON/ERECTION OF SIGN STRUCTURE IS IN ORDER. DATE ISSUED

THIS CERTIFICATE OF USE IS ISSUED/GRANTED PURSUANT TO SECTION 309 OF THE NATIONAL


VERIFIED AND COMPLIED AS TO THE FOLLOWING REQUIREMENTS BUILDING CODE (PD1096).
_________________________ _________________________ ___________________________ OWNER/LESSEE________________________________________________________________________
LOCATIONAL/ZONING LINE AND GRADE ARCHITECTURAL NAME OF PROJECT_____________________________________________________________________
OF LAND USE (GEODETIC)
USE OR CHARACTER OF OCCUPANCY___________________________________________________
_________________________ _________________________ ___________________________
LOCATED/ERECTED AT/ALONG_________________________________________________________
CIVIL/STRUCTURAL ELECTRICAL MECHANICAL
_________________________ _________________________ ___________________________ THE OWNER/LESSEE SHALL PROPERLY MAINTAIN THE BUILDING/SIGN STRUCTURE TO
SANITARY PLUMBING ELECRONICS
ENHANCE ARCHITECTURAL WELL – BEING, STRUCTURAL STABILITY, ELECTRICAL, MECHANICAL,
_________________________ _________________________ ___________________________
SANITATION, PLUMBING, ELECTRONICS, INTERIOR DESIGN AND FIRE-PROTECTIVE PROPERTIES AND
INTERIOR DESIGN ACCESSIBILITY FIRE SAFETY
SHALL NOT BE OCCUPIED OR USED FOR PURPOSES OTHER THAN ITS INTENDED USE AS STATED
_________________________
ABOVE.
OTHERS(SPECIFY)
NO CHANGE IN EXISTING CHARACTER OF OCCUPANCY CLASSIFICATION OF A BUILDING
/SIGN STRUCTURE OR PORTION THEREOF SHALL BE MADE UNTIL THE BUILDING OFFICIAL HAS
THE CONSTRUCTION/ERECTION OF THE BUILDING/SIGN STRUCTURE COVERED BY BUILDING ISSUED A CERTIFICATE OF USE THEREFOR AS PROVIDED IN THE NATIONAL BULDING CODE (PD
PERMIT NO__________________________ SIGN PERMIT NO _____________________________ ISSUED ON 1096).
______________________________ HAS BEEN FOUND TO BE SUBSTANTIALLY COMPLIED AND THE BUILDING/SIGN STRUCTURE SHALL BE SUBJECT ANNUAL INSPECTION AND ISSUANCE
THEREFORE THE “CERTIFICATE OF USE” IS HEREBY RECOMMENDED FOR ISSUANCE. OF A CERTIFICATE OF USE FOR A PERIOD OF ONE (1) YEAR FROM THE DATE OF ISSUANCE OF SAID
CERTIFICATE AND YEARLY THEREAFTER.
________________________________ _______________________________
CHIEF CHIEF A CERTIFIED COPY HEREOF SHALL BE POSTED WITHIN THE PREMISES OF THE
INSPECTION AND ENFORCEMENT DIVISION PROCESSING AND EVALUATION DIVISION BUILDING/STRUCTURE AND SHALL NOT BE REMOVED WITHOUT AUTHORITY FROM THE BUILDING
(SIGNATURE OVER PRINTED NAME) (SIGNATURE OVER PRINTED NAME)
DATE____________________ DATE____________________ OFFICIAL.

________________________________________
NBC FORM NO. B - 14

BUILDING OFFICIAL
(SIGNATURE OVER PRINTED NAME)
DATE____________________________

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