RENOVATION APPLICATION FORM

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1 BADAN PENGURUSAN BERSAMA APARTMENT DWI MUTIARA (JMB00071) BLOCK A LEVEL 2, LINKUNGAN INDAH UTAMA, TAMAN BUKIT INDAH 2, JOHOR BAHRU, JOHOR TEL: FAX: hr1mgt@gmail.com RENOVATION APPLICATION FORM Owner / Applicant's Name : : Unit No. : H/P No. : Dear Sir, PART A I wish to apply for permission to carry out renovation works to my unit as detailed on the plan attached : i) NATURE OF RENOVATION / INSTALLATION / DISMANTLING ( ) Interior finishes (wall, floor, etc) ( ) Air- Cond (standard location) ( ) Carpentry / Cabinets ( ) Plumbing ( ) Metal Grill (standard pattern, position & colour) ( ) Others, Pls Specify. ( ) Electrical wiring (concealed / casing). ii) Duration Period : from to iii) Declaration : (I hereby undertake to ensure that the above renovation works will not hinder the issuance of the Certificate of Fitness For Occupation by the appropriate authorities.) I understand that any such alteration or addition thereon erected by me without approval from the relevant authority may render me liable to prosecution and/ or demolition now or in the future by the statutory authorities. I will relinquish my rights to the defects liability period on the portion of works which is directly or indirectly affected by my works. I undertake to observe all conditions laid out in the House Rules/ Rules and Regulation of Renovation Works and any liquidated damages suffered by you as a result of the renovation works or negligence on my part shall be borne by me. I understand that any UNAUTHORISED / NOT APPROVED renovation works by the local authorities / Original Building Licensed Architect / Original Building Consultant / Original Licensed Structural Engineer which may affect the building structure are NOT PERMISSIBLE. Hacking of all structural slabs, columns and beams is STRICTLY PROHIBITED.

2 *Please ignore item (iii) 1 paragraph if the Certificate of Fitness for Occupation has already been issued. BADAN PENGURUSAN BERSAMA APARTMENT DWI MUTIARA (JMB00071) BLOCK A LEVEL 2, LINKUNGAN INDAH UTAMA, TAMAN BUKIT INDAH 2, JOHOR BAHRU, JOHOR TEL: FAX: hr1mgt@gmail.com RENOVATION APPLICATION FORM PART B (Guidelines for Renovation Works) i) All workers must be report to the Security check point. ii) All workers must wear entification Passes while in the compound of the development. iii) Safety harness must be worn when working on platform or any other precarious position at a exceeding 3 meters. iv) The management reserves the right to request a copy of insurance policy ( Public Liability & Contractor's All Risks) for record purpose. v) The security guard reserve the right to ask any of the contractor's worker(s) to leave the premises of the development if they are found in breach of any rules & regulation set by The Management. vi) A deposit of RM is imposed upon application. vii) If there are any damages, the tenant/ owner/ contractor is responsible for the cost involved and the amount shall be deducted from the renovation deposit refund. Should the sum exceed the renovation deposit, the tenant/ owner/ contractor shall be obliged to pay for the balance sum accordingly. Renovation deposit will be forteited if not claim within three (3) months upon completion works and acceptance of joint inspection. Original Official Receipt must be attached with the application for refund. viii) Owners shall be responsible for their contractors and workers conduct. ix) Ensure utilization of gloves, goggles, respirators and / or other appropriate protective devices during the handling of chemical/ hazardous material and the containers used are securely closed to prevent spillage and contamination x) Ensure dirty water/ cleaning water will be drained to the sewerage system but NO cement/ plastering water to be flushed into the sewerage system. xi) All renovation debris to be disposed fo completely by the contractor after the completion of works at your own cost. Notes: A) Third party is permitted to apply on behalf of owner provided written approval/ authorization must be to management office for record purpose. Owner's/ Applicant's Signature Contractor's Signature Management Office Name/ Date Name/ Date (Company Stamp) Name/ Date (Management Stamp)

3 **If applicant is the contractor, the contactor's signature column can be omitted but the company stamp is still required

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MANAGEMENT CORPORATION STRATA TITLE PLAN NO K B WAREHOUSE APPLICATION PERMIT FOR RENOVATION / MOVAL

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