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. Click Here For Our Other Forms Name Loan Applicant Information Date * Loan Applicant First Name * Loan Applicant Last Name * Loan Applicant Address * Loan Applicant City * Loan Applicant State * Loan Applicant Zip Code * Loan Applicant Phone Number * Loan Applicant Email Address Address of Home Site Site Address * Site City * Site State * AL FL GA IN MS OH PA SC TN TX WV Site Zip Code * Directions to Site Manufacturer's Information Manufacturer Name * Model Number/Name * Blocking PlanNote: Please send us the Blocking Plan. Fax: (352) 799-1225 • Email: firstname.lastname@example.orgFlood PlaneNote: If in Flood Plane A, please send us the Base Flood Elevation (BFE) and Finish Floor Elevation. Fax: (352) 799-1225 • Email: email@example.comLending Agent Name and Address Lending Agent First Name * Lending Agent Last Name * Lending Agent Company * Lending Agent Address * Lending Agent City * Lending Agent State * Lending Agent Zip Code * Lending Agent Phone Number * Lending Agent Email Address Person Requesting Certification Requestor First Name * Requestor Last Name * Requestor Company * Requestor Address * Requestor City * Requestor State * Requestor Zip Code * Requestor Phone Number * Requestor Email Address Payment Arrangements Inspection Fee – $350 How will your payment reach ADP? (select one) * Credit/debit card. We accept all major credit cards. Please call (352) 799-1500, Ext. 5. By selecting this option, the requestor commits himself and his company to assure payment to ADP & Associates Inc. for inspection services performed by ADP & Associates, at closing or 30 days from the last ADP inspection invoice date for this project, whichever occurs first. 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. Please click the submit button below to send your request. WAIT FOR THE THANK YOU CONFIRMATION TO SHOW ON YOUR SCREEN. Your submission has not been sent until you see that page.