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FSED 001 - Application Form FSEC

This document is an application form for a Fire Safety Evaluation (FSE) from the Bureau of Fire Protection. It requests information such as the name and contact details of the owner and establishment. It also lists the required documentary attachments, including architectural, electrical, and fire protection plans. Applicants must certify that the information and documents provided are complete. Once submitted, the application is received and verified by Bureau staff.

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Macabebe Fire Station
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1K views1 page

FSED 001 - Application Form FSEC

This document is an application form for a Fire Safety Evaluation (FSE) from the Bureau of Fire Protection. It requests information such as the name and contact details of the owner and establishment. It also lists the required documentary attachments, including architectural, electrical, and fire protection plans. Applicants must certify that the information and documents provided are complete. Once submitted, the application is received and verified by Bureau staff.

Uploaded by

Macabebe Fire Station
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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BUREAU OF FIRE PROTECTION

AUTOMATED CLEARANCE SYSTEM


Service Made FAST- EASY - RELIABLE (02) 426 0219 / 426 0246
www.bfp.gov.ph
FSE
APPLICATION FORM

FIRE SAFETY EVALUATION


FIRE SAFETY EVALUATION CLEARANCE
NAME OF
OWNER
ESTABLISHME
NT NAME
TRADE BUSINESS
NAME NATURE
EXACT BUSINESS
ADDRESS
LANDLINE/FAX CELLPHONE NUMBER EMAIL ADDRESS

AUTHORIZED REPRESENTATIVE
(If Applicant is not the Owner)

ATTACHED DOCUMENTARY REQUIREMENTS

[ ] APPLICATION FORM FOR BUILDING PERMIT FROM THE OFFICE OF THE BUILDING OFFICIAL
THREE (3) COMPLETE SETS OF THE FOLLOWING DOCUMENTS:
[ ] ARCHITECTURAL DOCUMENTS [ ] PLUMBING DOCUMENTS
[ ] CIVIL/STRUCTURAL DOCUMENTS [ ] ELECTRONICS DOCUMENTS
[ ] ELECTRICAL DOCUMENTS [ ] SANITARY DOCUMENTS
[ ] MECHANICAL DOCUMENTS [ ] FIRE PROTECTION PLAN
[ ] PHOTOCOPIES OF VALID LICENSES OF
INVOLVED PROFESSIONAL

[ ] 1 SET OF ESTIMATED COST OF THE BUILDING TO BE CONSTRUCTED/RENOVATED/MODIFIED AS REFLECTED


IN THE BILL
OF MATERIALS INCLUDING LABOR COST SIGNED AND SEALED BY THE DESIGNER/CONTRACTOR AND DULY
NOTARIZED

NOTE: Incomplete documentary requirements will be returned to the applicant.


I hereby certify the correctness of the information provided above and the completeness of the
attached documents.

________________________________
__________________
SIGNATURE OVER PRINTED NAME DATE

VERIFIED BY: DATE


RECEIVED
TIME
RECEIVED
BFP-QSF-FSED-001 REV.00 (06.01.18)

CONTACT INFORMATION: _________________________________ email: _____________________________________


NOTE: Authorized Representative must present an Authorization Letter and Copy of Owner’s Identification Card

DATE CUSTOMER RELATION OFFICER


______________________ _________________________
CERTIFIED BY:

C
APPLICATION
FSE
CLAIM STUB

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