Certificate of Completion: The PEZA Building Official

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SuSD.1.F.

010
Rev. 01, 31 JUly 2019

CERTIFICATE OF COMPLETION
Scope of Work: Civil / Structural Architectural

The PEZA Building Official:

This is to certify that the construction works of/within the building covered by Building Permit No._________________
issued on _______________ have been completed in accordance with the approved plans and specifications on file with the
Office of the Building Official and in conformity with the provisions of the "National Building Code of the Philippines" (P.D. 1096).

The said building/s and/or facility are ready for your final inspection which is prerequisite to the issuance of "Certificate
of Occupancy".

Name of PEZA-registered Enterprise:


Project Title (consistent with the issued Building Permit):
(NOTE: In case of Partial Occupancy, indicate exact location using gridlines and emphasize the specific area)
Address of PEZA Enterprise:
Location of Project/Construction :
Use or Type of Occupancy:
Proposed Date of Start of Construction: Expected Date of Completion:
Actual Date of Start of Construction: ACTUAL DATE OF COMPLETION:
Number of Stories or Floors: Actual Height:
Estimated Project Cost (PhP):
ACTUAL Project Cost (PhP): (for statistical purposes only)
a) TOTAL COST OF MATERIALS (PhP) :
1. Cement (bags) 4. Number of G.I. Sheets
2. Lumber (cubic meter) 5. Pre-Fab Structural Steel (kg.)
3. Reinforcing Bars (kg.)
b) TOTAL COST OF DIRECT LABOR (PhP) : (This includes compensation whether by salary or contract for
project's Architects/Engineers down to laborers)
c) EQUIPMENT RENTAL COST, if any (PhP) :
d) OTHER COSTS (PhP) : (This includes professional service fees, permits and other fees)

Signed by: Full Time In-Charge of Construction If Construction is Undertaken by Contract:

Contracting Entity:
Name, signature and dry seal of: architect civil engr.
PRC Reg. No.: PCAB License No.
Vaid Until : PCAB Category :
PTR No.: PCAB Classification:
Date Issued: Tax Identification No.:
Place of Issue : Address:

Conforme:

Name and signature of PEZA Enterprise Owner Name and signature of Contracting Entity's AMO
(Applicant)
Designation Designation

Republic of the Philippines)


City/Munipality of ___________________ ) SS.

SUBSCRIBE AND SWORN before me this, , in the City/Municipality of ,


exhibiting to me their with I.D./License/Passport No. as proof of their identities.

Doc. No. ;
Page No. ;
Book No. ;
Series of . Notary Public
SuSD.1.F.010
(Attach proof of identity of PEZA Enterprise Owner and Contractor) Rev. 01, 31 JUly 2019

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