CED-CP-001 CP-F003 APPLICATION FORM FOR TKS MODIFICATION PERMIT – LANDLORS’S UNIT Refer to Guideline for Key Terminology on http://www.trakhees.ae/web/ced/modifications TYPE OF UNIT Office Mall/Shopping Center Retail Building Apartment Villa Other (Please specify): YPE OF SUBMISSION New Resubmission* Revision** EHS ( either or both) CED Previous Submission/Permit Reference (for Re-submission and Revision application - as applicable) *Application Reference (MPN/MRV T#) : **Trakhees Modification Permit No.: APPLICANT INFORMATION Requested by : Client Client Contractor Consultant Trade or Commercial Name Email Trade License No. Telephone No. Cell Phone No. Specialist Contractor Trade or Commercial Name Email Trade License No. Telephone No. Cell Phone No. Consultant (If applicable) Trade or Commercial Name Email Trade License No. Telephone No. Cell Phone No. UNIT LOCATION DETAILS Business Unit Location Plot No. Building Name/No. Unit No. Modified Area (Sq. M) TYPE OF MODIFICATION ( all that apply) Gypsum /Tile False Ceiling Full Height Partitions External Painting Flooring*** Machinery & Equipment Installation Adding & Removing Block Wall *Wall Finishes / Painting Adding & Removing Door/ Windows in Block Wall Mezzanine Staircase/ Ramps Car Parking Racking Plumbing Electrical HVAC LPG Installation Paving Landscaping Kitchen Ducting Others (Specify): *** Flooring & Wall finishes / Painting is only applicable for industrial units and food outlets Revision 01 June 2014 Page 1 of 2 Required Documents and Drawings Relevant documents from the following table should be submitted in a CD, organized into two folders. Set 1 (Documents) should be saved in Folder titled “Documents” and set 2 (Drawings) in folder titled “Drawings”. All documents should be in PDF format. Please select appropriate option button for the submitted documents in the table below. Set 1: DOCUMENTS Folder Set 2: DRAWINGS Folder Document Type Yes NA Drawing Type Yes NA Setting-out Plan showing location Copy of Title deed with Affection Plan of proposed Modification area Copy of Appointment Letter of Contractor / Floor Plan (Existing & Proposed) Consultant Copy of Contractor’s / Consultant’s valid Elevations License Contractor Undertaking Letter / Consultant Sections Cover letter Clearance Letter & approved Drawings from Utilities Layout Plan (Existing & Master Developer / Business Unit (if Proposed) applicable) Design Calculations & Structural NOC from Dubai Civil Defence (DCD) Drawings (if applicable) Approved Drawings of Existing Facility (if Applicable) Declaration We hereby confirm that all data provided in this application / documents comply with Trakhees Regulations & Standards. If any delay occurs due to incorrect information provided by us in the submitted application we hold ourselves solely responsible for the delay. We are liable for any legal obligations which may occur due to invalid / tampered documents being submitted along with this application. Authorized Name & Signature Date Note: Revision 01 This PDF form can be filled and saved using Acrobat Reader. A duly filled copy of filled and saved PDF form needs to be provided on CD. A printed and signed copy (authorized signature and company stamp) is also to be included in the CD. June 2014 Page 2 of 2 Print Form
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