Republic of the Philippines

Province of Zamboanga del Norte

Municipality of Polanco
oOo

OFFICE OF THE BUILDING OFFICIAL

CERTIFICATE OF COMPLETION
The Building Official:

Area Code :

THIS IS TO CERTIFY THAT the construction of the building covered by Building Permit No.

Issued on has been completed in accordance with this approved Plans and Specifications on File
with the OFFICE OF THE BUILDING OFFICIAL and the NATIONAL BUILDING CODE" (P. D. 1096).

That the said Building and or Structure is ready for Final Inspection for the issuance of the "CERTIFICATE OF
OCCUPANCY".

Name of Owner:
Address of Owner:
Location of Construction
Use of Type of Occupancy
Date of Start of Construction:
Proposed: Actual:

Date of Completion:
Expected: Actual:

Total Floor Area: (sq. meters)

Estimated: Actual:
No. of Storeys: Actual Height:
Estimated Cost:
Actual Cost: (for statistical purposes only)
a.) MATERIALS (TOTAL COST) Php

1. CEMENT (bags)
2. LUMBER (cu.m)
3. REINFORCING BARS (kg)
4. NO. OF G.I. SHEETS
5. PRE. FAB STRUCTURAL STEEL (kg)
b.) DIRECT LABOR (TOTAL COST) Php
THIS INCLUDES COMPENSATION WHETHER BY SALARY OR CONTRACTOR FOR PROJECT ARCHITECT /
ENGINEER DOWN TO LABORER.
c.) RENTAL OF EQUIPMENT (IF ANY)
d.) OTHER COSTS Php
THIS INCLUDES PROFESSIONAL SERVICE FEES, PERMITS AND OTHER FEES.

IF CONSTRUCTION IS UNDERTAKEN BY CONTRACT:

ARCHITECT / CIVIL ENGINEER CONTRACTOR

(INCHARGE OF CONSTRUCTION) PRC REG. NO. CLASS
TIN RES. CERT.:
ADDRESS

CONFORME:

OWNER / APPLICANT