CED-CP-001 CP-F002

APPLICATION FORM FOR TKS MODIFICATION PERMIT INDUSTRIAL

Refer to Guideline for Key Terminology on http://www.trakhees.ae/web/ced/modifications

TYPE OF SUBMISSION
New Resubmission* Revision** CED EHS ( either or both)

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 Contractor Consultant
Client
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
Full Height Partitions External Painting Flooring ***
Ceiling
Adding & Removing
Machinery & Equipment Adding & Removing *Wall Finishes /
Door/ Windows in Block
Installation Block Wall Painting
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

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 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 Clients valid Trade License
of proposed Modification area
Copy of Lease with Lease Drawing / Title
Floor Plan (Existing & Proposed)
deed with Affection Plan
Copy of Appointment Letter of Contractor /
Elevations
Consultant
Copy of Contractors / Consultants valid
Sections
License
Contractor Undertaking Letter / Consultant Utilities Layout Plan (Existing &
Cover letter Proposed)
Supplier Undertaking Letter for Racking (if Design Calculations & Structural
applicable) Drawings (if applicable)
Clearance Letter & Approved Drawings from Approved Drawings of existing
Developer / Business Unit (if applicable) facility (if Applicable)
NOC from Dubai Civil Defence (DCD)

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.

Date Authorized Name & Signature

Note: 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.

Revision 01 June 2014 Page 2 of 2

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