GENERAL INSTRUCTIONS:

letter). All required data fields/information should be completely and clearly filled-out by the applicant.2. Please ensure that all required documents are properly attached and fill out all necessary information. Incomplete submission of application form and/or requirements will be returned to the applicant.

DOCUMENTARY REQUIREMENTS DATE:

BUSINESS INFORMATION AND INFORMATION

Form of Organization: Sole Proprietor Partnership Corporation Cooperative

DTI / SEC / CDA Registration Number:

CONTACT NUMBER : NUMBER OF DELIVERY TRUCK/VAN :

BUSINESS AREA (IN SQ. M.): MONTHLY RENTAL (FOR LESSEE):

Lessor's Name:

Lessor's Address: House No./Bldg. No.: Subdivision:

Street: City/Municipality:

Barangay: Province:

Tel. No.: Email Address:

LGU SECTION : VERIFICATION OF DOCUMENTS (The BPLO or CTO shall fill-up this section)

YES NO NOT REQUIRED

LINE OF BUSINESS

(e.g. mfr.,retailer, contractor)

APPLICATION FORM FOR NEW BUSINESS PERMIT

SIGNATURE OF APPLICANT OVER PRINTED NAME

POSITION/TITLE

COMPLIANCEOFFICE/AGENCY EVALUATED BY

Bureau of Fire Protection

Planning Office / Zoning Office

Office of the LocalBuilding Official

DESCRIPTION

Occupancy Permit

Sanitary Permit/Health Clearance

City Environmental Certificate

Market Clearance (For Stall Holders)

Fire Safety Inspection Certificate

Zoning Clearance

City/Municipality Health Office

City/Mun. Environment and Natural Resources

Office

Office of the City/Municipality

Market Administrator

BUSINESS NAME

TRADE NAME / FRANCHISE

NAME OF PRESIDENT/TREASURER OF CORP.

PRODUCTS / SERVICES

(e.g. plastic,steel / janitorial, barbershop)GROSS SALES NO. OF EMPLOYEES

LOCATION OF BUSINESS EST. OWNER'S ADDRESS

NAME OF TAXPAYER (OWNER OF BUSINESS):

1. Accomplish the application form by ticking the appropriate boxes, typing, and/or printing (upper case/capital

Sketch and photos of location of business Proof of Business Registration (DTI for Sole Proprietorship/SEC for Corporations and Partnerships/CDA for Cooperatives)

Contract of Lease (if leased) or Tax Declaration or Transfer Certificate of Title (TCT) (if owned)

Occupancy Permit (photocopy)

Barangay Business ClearanceLocational Clearance (photocopy)

House No./Bldg. No. House No./Bldg. No. :Building Name /Unit no.: Building Name /Unit no.:Street: Street :

Subdivision: Subdivision:

Barangay: Barangay :

if place of business is rented, please identify the following:

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.

City: City of Meycauayan City/Mun.

Province: Bulacan Province

e-mail Address e-mail Address

Tel. No.: (044) 919-8020 local 1016

Last Name First Name Middle Name

Last Name First Name Middle Name

NEW

License Fee

Delivery Trucks/Vans Permit Fee

Building Inspection Fee

Electrical Inspection Fee

Mechanical Inspection Fee

Plumbing Inspection Fee

Signboard/Billboard Renewal Fee

Signboard/Billboard Permit Fee

Storage and sale of combustible

flammable or explosive substance

Mayor's Permit Fee

Garbage Charges

Sanitary Inspection Fee

Others: Registration Fee

Health Fee

Cigarette

Wine(Imptd./Local)/Beer

Miscellaneous

P.E. Fee

Notarization Fee

Plate

Jukebox/Videoke

Ref/Cold Storage Fee

Surcharge

Penalty

CNC/ECC

CTC (single/Corp.)

ASSESSED BY:

DATE :

(TO BE FILLED UP BY APPLICANT/ OWNER)

Name of Applicant/Owner:Name of Business:

Total Floor Area: ____________________ Contact No.:

Address of Establishment: ________________________________________________

Certified by: FIRE SAFETY INSPECTION

Customer Relations Officer FEE ASSESSMENT:

Time and Date Received: ____________________________

Important Notice: As per Rule 12 Section 12.0.0.1 of Implementing Rules and Regulations of the Fire Code of 9514, certain establishments

(e.g. building lessors, fire, earthquake, and explosion hazard insurance companies, and vendors of fire fighting equipment, appliances and

devices) may be required to pay additional charges and fees other than the Fire Safety Inspection Fees. These shall be collected during

inspections or in another process to be communicated by representative of the Bureau of Fire Protection (BFP).

Signature of Applicant/Owner

Tax on Delivery

vans/Trucks

Subtotal

TOTAL ASSESSMENT

ASSESSMENTS:

REGULATORY FEES AND CHARGES

APPLICATION NO.: ___________

CITY FIRE STATION SECTION