Form 5: Pre-Pour Foundation Footer Inspection Request Form

This form is only for new manufactured homes and is used to request an inspection of an excavated footer or slab with steel reinforcement in place and prior to installation of concrete.

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"*" indicates required fields

Loan Applicant (Buyer) Information

Date

Loan Applicant's Name*

First Last

Site Address*

Site City*

Site State*

Site ZIP Code*

Requestor Information

Requestor's Name*

Requestor's Company Name*

Requestor's Company Address

Street Address City State ZIP Code

Requestor's Phone Number

Requestor's Email*

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Mortgage Lender Information

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Lending Agent Name

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Mortgage Lending Company

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Mortgage Lender's Address

Street Address City State ZIP Code

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Mortgage Lender's Phone Number

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Lending Agent's Email

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Additional Information

The following items are needed for the Final Compliance Inspection:
1.) Photos of trenches with re-bar placement.

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Photos will be provided by:*

Upload with this form (jpg, png, pdf files only)

Please email your photos to adpassoc@gmail.com immediately after submitting this form.

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Upload photos

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 64 MB.

Payment Arrangements

Inspection Fee: $250

Please call (352) 799-1500 to make payment by credit or debit card. We accept all major credit cards.

Limited Warranty

By submitting this request, 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, Inc. is limited to the amount of the inspection fee.

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