Form 1: Foundation Design Certification Request

For the completion of the FHA Certification on the manufactured home foundation design, please supply the following information to us for analysis.

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Loan Applicant Information

Address of Home Site

Manufacturer's Information

ABS Footer Pad Size(s) for Concrete Block Piers

Note: Please send us the Blocking Plan.
Fax: (352) 799-1225 • Email:

Length and Width of Manufactured Home

Note: If in Flood Plane A, please send us the Base Flood Elevation (BFE) and Finish Floor Elevation.
Fax: (352) 799-1225 • Email:

Lending Agent Name and Address

Person Requesting Certification

Payment Arrangements

Inspection Fee – $350

Limited Warranty

By selecting a payment method above, the requestor understands and agrees that this inspection is limited to visual observations of apparent conditions existing at the time of the inspection. Latent and concealed defects and deficiencies are excluded from the inspection. No portions of the building or its systems are dismantled during the inspection. This inspection and report are not a guarantee or warranty, implied or expressed, regarding the adequacy or condition of the inspected structure or its components. The maximum liability, if any, for ADP & Associates is limited to the amount of the inspection fee.

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