INSTRUCTIONS: 1. Provide accurate information and print legibly to avoid delays. Incomplete application form will be returned to the applicant 2. Ensure that all doncuments attached to this form (if any) are complete and properly filled out. I. APPLICANT SECTION 1. BASIC INFORMATION New Renewal Mode of Payment: Annually Semi-Annually Quarterly Date of Application: TIN No.: Type of Business Single Partnership Corporation Cooperative Amendment:
From
Single
Partnership
Corporation
To
Single
Partnership
Corporation
Are you enjoying tax incentive from any Government entity? Last Name: Business Name: Trade name/Franchise: 2. OTHER INFORMATION
Yes No Please specify the entity? Name of Taxpayer/Registrant First Name: Middle Name:
Note: For renewal applications, do not fill up this section unless certain information have changed
Business Address: Postal Code: Telephone No.: Owner's Address:
Email Address Mobile No.:
Postal Code: Email Address Telephone No.: Mobile No.: In case of emergency, provide name of contact person: Telephone/Mobile No.: Email Address: Busines Area(in sq.m.) Total No. of Employees in Establishment
No. of Employees residing w/in LGU
Note: Fill Up Only if Business Place is Rented
Lessor's Full Name: Lessor's Full Address: Lessor's Full Telephone/Mobile No.: Lessor's Email Address: Monthly Rental: 3. BUSINESS ACTIVITY Line of Business
I DECLARE UNDER PENALTY OF PERJURY that the foregoing information are true based on my personal knowledge and authentic records. Further, I agree to comply with the regulatory requirement and other deficiencies within 30 days from release of the business permit. ___________________________________________________ SIGNATURE OF APPLICANT/TAXPAYER OVER PRINTED NAME
________________________________________ POSITION / TITLE
II. LGU Section (Do Not Fill Up This Section) 1. VERIFICATION OF DOCUMENTS Description Occupancy Permit (For New) Barangay Clearance (For Renewal) Community Tax Certificate National Building Code Real Property Assessment Sanitary Permit/Health Insurance Zoning Clearance Real Property Tax Payment Clearance Stall Rental Business Registration Business Name Registration PhileHealth Membership SSS Membership Municipal Environmental Certificate Market Clearance (For Stall Holders) Valid Fire Safety Inspection Certificate
Office/Agency
Yes
No
Not Needed
Office of the Building Official Barangay Municipal Engineering Office Municipal Assessor's Office Municipal Health Office Mun. Planning and Dev't Office Municipal Treasury Office Municipal Treasury Office Bureau of Internal Revenue Department of Trade and Industry PhilHealth MENRO Office of the Market Administrator Bureau of Fire Protection
Verified by: MARTHALYN S. GACIAS BPLO Designate 2. ASSESSMENT OF APPLICABLE FEES Local Taxes
Amount Due
Penalty/Surcharge
Total
Gross Sales Tax REGULATORY FEES AND CHARGES Mayor's Permit Fee Tax Clearance Fee Garbage Collection Fee Environmental Protection Fee Delivery Trucks/Vans Permit Fee Sanitation Inspection Fee Health Exam Fee Permit Fee on Calling Building Inspection Fee Electrical Inspection Fee Mechanical Inspection Fee Plumbing Inpesction Fee Signboard/Billboard Renewal Fee Storage and Sale of combustible/ Flammable of Explosive Substance Weight and Measure Secretary's Fee Business License Plate Cost Others
TOTAL FEES for LGU FIRE SAFETY INSPECTION FEE(10%) Assessed by:
FSIF Assessment Approved by:
BFP III. MUNICIPAL FIRE STATION SECTION DATE: ______________________ APPLICATION NO.: ____________________ (To be filled up by Applicant/Owner) Name of Applicant/Owner: Name of Business: Total Floor Area: Address of Establishment:
Contact No.:
Signature of Applicant/Owner Certified by: Customer Relations Officer Time and Date Received: __________________________
FIRE SAFETY INSPECTION FEE ASSESSMENT
Important Notice:As per Section 12 of the IRR of the Fire Code of 2008, certain establishments(e.g. building lessors, fire earthquake and explosion hazard insurance companies and vendors of fire fighting equipment) may be required to pay additional charger and fees other than the Fire Safety Inspection Fees. These shall be collected during Inspections or in another process to be communicated by representatives of the BFP.
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PERMIT FEES. Total Valuation. Fee x 0.65. $1.00 to 1,100.00. $ 36.00. $1,101.00 to 1,200.00. $ 38.50. $1,201.00 to 1,300.00. $ 41.25. $1,301.00 to 1,400.00.
Unit. Owner. Phone Number ( ) ... Use â¡ Single Family Detached â¡ Single Family Attached â¡ Multi-Family ... Permittee is to build according to above description and to the approved plans and specifications of the Building Code and to submit.
Permit Package includes but is not limited to: 1. 2 site plans showing location of wall on property. 2. 2 engineered wall details or 1 copy of City Wall Standards. 3. 1 soils report (if required for retaining wall). 4. 1 signed permit application. 5.
New Business Permit Application -fillable -2015.pdf. New Business Permit Application -fillable -2015.pdf. Open. Extract. Open with. Sign In. Main menu.
:â______ âZip:â______. Phone: Fax: E-Mail Address: Applicant:â Name:â. Address: City: State: ______ Zip: ______. Phone:â. âFax: E-Mail Address: Contact Person and Information: Date of Event and time: ... Business License Verification: F
... and Occupations. State Electrical Board. Page 1 of 2 ... Page 2 of 2. Electrical Permit Application.pdf. Electrical Permit Application.pdf. Open. Extract. Open with.
Yayasan Masjidillah Indonesia, Karang Menjangan 110, Surabaya, 60286. Kontak : Sdr. Nur Q, 0857-33-484-101. Email : [email protected]. Website : http://sites.google.com/site/masjidillah. Blog : masjidillah.wordpress.com. Page 3 of 1,072. HVAC per
RIGHTS OF SUBJECTS OF DATA. NOTE: This section is to be completed by the residency program in Minnesota, only following completion of. the foregoing ...
Sign in. Page. 1. /. 2. Loading⦠Page 1 of 2. Page 1 of 2. Page 2 of 2. Page 2 of 2. Plumbing-Permit-Application.pdf. Plumbing-Permit-Application.pdf. Open. Extract. Open with. Sign In. Main menu. Displaying Plumbing-Permit-Application.pdf. Page 1
Residential Accessory Building. Permit Process. 10 to 21 business days. * Permit Package includes but is not limited to: 1. 1 permit application with all required ...
The Designer that prepares the permit drawings is responsible to ensure that they provide ... Permit Application Checklist.pdf. Permit Application Checklist.pdf.
Permit Package includes but is not limited to: 1. 2 Sets of approved Civil Plans or 2 Grading Plans signed by City Engineer and Building Official. 2. CC Desert Conservation Program Mitigation Fee Form (Tortoise Form). 3. 1 permit application with all
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plans. The Designer's/Architect's/Engineer's name, address, phone number, and State License Number. (if applicable, see next page) shall be noted on the ...