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Permit to Construct Application Form
PPA application form for permit to construct private port
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Tracking No. ____________
APPLICATION FOR PERMIT TO CONSTRUCT
APPLICANT PROFILE
Name of Applicant/Company:
Name of Authorized Representative:
Address
Telephone Number:
Location of the Proposed Facility
Fax Number
Tax Identification Number (TIN)
E-Mail Address:
Type of Application:
New
Additional
Nature of Business:
CONSTRUCTION PROFILE
Type/Description of Port Facility/Structure to be Put-Up:
Estimated Cost of Improvements to be Put-Up:
Construction Date
Expected Completion Date
VALIDATION
DOCUMENTARY CHECKLIST
(Put () if submitted, (x) is not available)
For PDO Engineering Division's Use Only
(To be accomplished by person/s who signed/sealed/recommended
plans/specifications approval)
Civil Engineer
Civil Engineer
Basic Requirements:
PRC Reg. No.
PRC Reg. No.
Division/Section
Division/Section
PTR No.
PTR No.
Date Issued
Date Issued
Signature
Signature
TIN
TIN
Unified Application Form with Working Drawings/
Building Plans signed by a Licensed Civil Engineer, as
attachments
Duly Notarized Omnibus Undertaking (Sworn Affidavit)
Permit to Construct Fee : ________________________
Date Paid:
O.R. No.
Received by:
Manager, Engineering Division
Approved by:
Port District Manager
Status as of _______________________
Approved
Denied
Pending
