PROCES VERBAL

DE RECEPTIE LA TERMINAREA LUCRARILOR

*Nr._______________/_______________
Privind lucrarea____________________________________________________________
_________________________________________________________________________
Avand Sc=_______mp.Sd=_______ mp,situata in str.________________________nr.____
Nr.Carte Funciara______________________, Nr.topo/cad.__________________________
Executata in cadrul contractului nr.___________________incheiat intre______________si
intre_______________pentru lucrarile de ________________________________________
__________________________________________________________________________
I. Lucrarile au fost executate in baza autorizatiei de construire nr.____________________
eliberata de Consiliul Local, cu valabilitate pana la _______________________________
II. Comisia de receptie si-a desfasurat activitatea in intervalul _______________________
fiind formata din :
1. Investitor cu CNP/CUI_____________________________________________________
__________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
2. **Reprez.C.L._______________________ 5. Specialist___________________________
3. Specialist_________________________ 6. Specialist___________________________
4. Specialist_________________________ 7. Specialist__________________________
III. Au mai participat la receptie:
_________________________________________________________________________
_________________________________________________________________________
IV. Comisia de receptie in urma constatarilor facute, propune:
_________________________________________________________________________
_________________________________________________________________________
V. Valoarea lucrarilor de construire s-a ridicat la suma de lei________________________
VI. Prezentul proces-verbal, continind _________file si___________anexe numerotate cu un
total de ________file, a fost incheiat astazi__________________ in________exemplare.
VII. Prezentul proces-verbal este valabil insotit de Certificatul de performanta energetica nr.
_____________ din ______________ intocmit de _______________________________ .
COMISIA DE RECEPTIE
SEMNATURA
1. Investitor______________________________________________________________
_________________________________________________________________________
2. **Reprezentantul Consiliului Local_________________________________________
3. Specialist______________________________________________________________
4. Specialist______________________________________________________________
5. Specialist______________________________________________________________
6. Specialist______________________________________________________________
7. Specialist______________________________________________________________

NOTA:
*)Numarul procesului-verbal se atribuie informatizat de catre functionarul din cadrul
Serviciului Autorizari constructii ce participa la receptia lucrarilor
**) Randul 2 va cuprinde numele si prenumele functionarului participant la receptie, stampila
si semnatura acestuia ( stampila este personalizata si cuprinde numele si prenumele
functionarului din cadrul Serviciului Autorizari constructii participant la receptie).