APPLICATION FORM FOR MODIFICATION PERMIT / NOC

Type of Submission

Retail & Office ✔ Landlord Unit Industrial

New
* For Temporary Facility: Use related Application Form (link)
Revision * (TRK Modification Ref. No): CEDSR-159578
✔
* For Temporary Facility: Use related Application Form (link)

Amendment * (TRK Modification Ref. No): CEDSR-15

No. of 9578
* For Change of Consultant / Contractor: Amendments:
Use related Application Form (link)

Revalidation Expiry No. of

(TRK Modification Ref. No): Date: Renews:

Cancellation
(TRK Modification Ref. No):

Applicant Information

Requested by : Client ✔ Contractor Consultant

Client

Name / Trade or Commercial Name MOHAMED R RAZZAK, ABDUL R RAZZAK, SHANILA R RAZZAK
Email kimo2everyone@[Link] Trade License No.

Telephone No. 0507423384 Mobile No. 0507423384

Contractor

Trade or Commercial Name Clear water technical services LLC

Email 0506980217 Trade License No. 0506980217

Telephone No. 0506980217 Mobile No. 0506980217

Consultant (If applicable)

Trade or Commercial Name

Email Trade License No.

Telephone No. Mobile No.

Project Information

Business Unit Jumeirah Golf Estates Community Name (as per TKS Site Plan): Jumeirah Golf Estate

Plot No. (as per TKS Site Plan): JGE-OL-A-F044

Type of Building: Residential ✔ Commercial Industrial Mixed Use
Building No. Unit No. Modified Area (M2)

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 APPLICATION FORM FOR MODIFICATION PERMIT / NOC

Modification Scope of Work ( all that apply)

Boundary Wall / Car Parking / Shade /

Full Height Partitions External Painting
Retaining Wall Pergola

Paving / Racking :
Swimming Pools Machinery Installation :
Landscaping With Mezzanine
with Foundation
Additional floor/walkways
Staircase/ Ramps without Foundation
Mezzanine Floor Free Standing

✔ Others (Specify) : External Modification on GF & FF, lightweight pergola for buggy parking, repair on
existing pergola

Submission Requirements

Relevant documents and drawings from the following table should be submitted online at [Link] in PDF format. Printed
signed copy of the Application form to be included in the documents. Following is the list of folder codes and corresponding folder
names. Relevant drawings must be submitted in A3 size in clear copy and readable.
(GD) General Documents (CIVIL) Civil (FP) Facility Permit

Submission for New

Folder
Yes N/A
Code
Copy of Client’s valid Trade License (GD)

Copy of Lease / Ejari / Title Deed /Trakhees Site Plan (GD)

NOC from Civil Defense (DCD) (GD)

Landlord/ Developer/ Business Unit NOC (GD)

COC Certificate of Conformity (Modification Works) (GD)

All relevant drawings (Key Plan showing location of proposed modified area, Floor (GD)
Plans, Elevations and Sections, Utilities Layout ) - (Existing & Proposed)
Design Calculations & Structural Drawings & Models (if Applicable) (CIVIL)

Master Developer Approved drawings (GD)

Demolition layout along with method of statement (if any) (GD)

Latest Trakhees CED Approved drawings (GD)

Machinery details (machinery list form, catalogue/brochure, and process flow chart) (FP)

Racking details (loading calculation, section & elevation) (FP)

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 APPLICATION FORM FOR MODIFICATION PERMIT / NOC
Submission for Revision
Folder
Yes N/A
Code
Revised NOC and Approved Drawings from Master Developer (GD) ✔

Revised Authorities NOCs (If required) (GD) ✔

Set of Revised Design Calculation Sheets & Drawings highlighting the revision (CIVIL) ✔

Machinery details (machinery list form, catalogue/brochure, and process flow chart) (FP) ✔

Racking details (loading calculation, section & elevation) (FP) ✔

Submission for Amendment

Folder
Yes N/A
Code
Cover Letter stating the reason (client name*/unit no.*/ plot no.*/NOC description/etc.) (GD)

* Copy of Client’s valid Trade License (GD)

* Copy of Lease / Ejari / Title Deed /Trakhees Site Plan (GD)

* Landlord/ Developer/ Business Unit NOC (GD)

Submission for Revalidation

Folder
Yes N/A
Code
Valid / Re-validated NOC from Master Developer (GD) ✔

Submission for Cancellation

Folder
Yes N/A
Code
Cover Letter stating the reason (GD)

Clearance Letter from Client - if Cancellation request is submitted by Contractor/

(GD)
Consultant
Clearance Letter from Contractor/ Consultant - if Cancellation request is submitted by
(GD)
Client

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 APPLICATION FORM FOR MODIFICATION PERMIT / NOC

Required for Submission:

Client’s Appointment of: Consultant Contractor ✔

This is to inform you that we have appointed M/S as our Consultant, appointed
Clear water technical
M/S as our Contractor for the project.
services LLC
We hereby authorize the Consultant / Contractor to obtain all necessary Authority approvals and work execution at
site. Also, this is to inform you that I agree to all submitted designs.

Client Signature/ Stamp

MOHAMED R RAZZAK, ABDUL R RAZZAK,
SHANILA R RAZZAK

Undertaking by Client:

We hereby confirm that we accept to take full responsibility in regards to completion of the abovementioned Project by
appointing the aforesaid Party, and we are responsible for any Legal obligations which may occur with the involved parties
due to this design.

Client Signature/ Stamp

MOHAMED R RAZZAK, ABDUL R RAZZAK,
SHANILA R RAZZAK

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 APPLICATION FORM FOR MODIFICATION PERMIT / NOC

The Consultant Undertaking:

We hereby confirm that we accept to take full responsibility/liability in terms of; but not limited to the following
conditions:

1) The Consultant practice permit as per DEQ System are active and matched with the assigned activities of this
project. Otherwise, DM NOC shall be obtained prior apply this application and accept the additional exceptional
fees.
2) The Consultant Accreditation Cards according to the assigned works are valid and as per relevant circulars..
3) To comply with the DCD requirements and any implications might be required by DCD authority for the
proposed Modification works.
4) To comply with all resolutions, circulars, regulations and standard codes related to the proposed Modification
works.
5) We are the appointed Consultant of this project confirm our acceptance to supervise the assigned Modification
Scope of work indicated above and according to the appointment from the client and as per the relevant
procedures and regulations and complying with local authority rules and approved drawings.
6) To comply with all requirements listed in the Certificate of Conformity (Modification Works) COC application
form and ensure the availability of the signed form during Trakhees Construction Safety Inspection.
7) The current construction status of the project is completed and relevant Building Completion Certificate (BCC)/
Modification Completion Certificate (MCC) has been issued.
8) To comply with the approved drawings during the construction without any disturbance on the other structural
elements.

Consultant Stamp

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 APPLICATION FORM FOR MODIFICATION PERMIT / NOC

The Contractor Undertaking:

We hereby confirm that we accept to take full responsibility/liability in terms of; but not limited to the following
conditions:

1) The Contractor practice permit as per DEQ System are active and matched with the assigned activities of this
project. Otherwise, DM NOC shall be obtained prior apply this application and accept the additional exceptional fees.
2) The Contractor Accreditation Cards according to the assigned works are valid and as per relevant circulars.

3) We are the appointed Contractor of this project confirm our acceptance to execute the assigned Modification
Scope of work indicated above and according to the appointment from the client and as per the relevant
procedures and regulations and complying with local authority rules and approved drawings
4) To comply with the DCD requirements and any implications might be required by DCD authority for the
proposed Modification works.
5) To comply with all resolutions, circulars, regulations and standard codes related to the proposed Modification
works.
6) To comply with all requirements listed in the Certificate of Conformity (Modification Works) COC application
form and ensure the availability of the signed form during Trakhees Construction Safety Inspection.
7) The current construction status of the project is completed and relevant Building Completion Certificate (BCC)/
Modification Completion Certificate (MCC) has been issued.
8) To comply with the approved drawings during the construction without any disturbance on the other structural
existing elements.

Contractor Stamp
Clear water technical services LLC

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 APPLICATION FORM FOR MODIFICATION PERMIT / NOC

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 that may occur due to invalid / tampered documents being submitted along
with this application.

Signature / Signature / Signature /

Client Consultant Contractor
Stamp Stamp Stamp
MOHAMED R Clear water
RAZZAK, ABDUL technical
R RAZZAK, services LLC
SHANILA R
RAZZAK
Submitter’s Details
Name Karim Adel Mobile Number 0545309817

ID Type ID ID Number 784199073224299

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