Form 1: Foundation Design Certification Request

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

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Loan Applicant (Buyer) Information

Date

Loan Applicant's Name*

First Last

Site Address*

Site City*

Site State*

Site ZIP Code*

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Manufacturer's Blocking Plan

Select how you will be providing the Manufacturer's Blocking Plan or Installation Drawings and follow the instructions shown.

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Blocking Plan will be provided by:*

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

Please fax your Blocking Plan to (352) 799-1225 immediately after submitting this form.

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

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Upload Blocking Plan

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

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Flood Plane

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Is this home in a Flood Plane?*

Yes

Please provide an Elevation Certificate. Select how you will be providing this and follow the instructions shown.

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Elevation Certificate will be provided by:

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

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

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Upload Elevation Certificate

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

Person Requesting Certification Drawing

Requestor's Name*

Requestor's Company Name

Requestor's Company Address

Street Address City State ZIP Code

Requestor's Phone Number

Requestor's Email*

Payment Arrangements

Inspection Fee: $525

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 is limited to the amount of the inspection fee.

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