F.012BUILDING COMPLETION CERTIFICATE REQUEST

Please complete this application and submit it with required attachments to DUBAI SOUTH Regulatory Affairs / Land Planning & Development Control Dept.

A: General Information

Project Name:

Project Owner: Plot No:

Consultant:

Contractor: B: Required Information and Submittals

◊ Copy of Building Permit◊ Copy of Building Inspection Log ◊ Copy of Final Inspection Comments from DEWA◊ Civil Defense Certificate (Original)◊ Compliance Certificate from Consultant (Original)◊ Compliance Certificate for External Connections (Original)◊ Compliance Certificate from Etisalat for Telecom (Original)◊ QHSE NOC ◊ NOC from Owner to issue Completion Certificate (Original)◊ LAND Demarcation Certificate

C: Fees

Submission Fee: AED 5,010*/- .

Received By: Receipt No.: Signature: *Inclusive of Knowledge fee.

D: Submission Details

Submission Details : Initial Submission Resubmission

CONTRACTOR CONSULTANT

Name Name

Contact No. Contact No.

STAMP STAMP

Signature & Date Signature & Date

E: For Official use only Document Receiving: TRN- File: DLC RC AC

Received By Signature Date

Approved Conditional Approval Resubmit

Name, Signature & Date

Approved By VP - Land Planning & Development

Date :

PDC- F-012, Rev. 4, Aug 2015 Page 1 of 1