Greenville County
Greenville County Square
301 University Ridge, Suite 4100, Greenville SC 29601-3686
Phone (864) 467-7060
permits@greenvillecounty.org
MANUFACTURED HOME PERMIT APPLICATION
APPLICATION MUST BE COMPLETED PRIOR TO REQUESTING PERMIT
Date:_____________ Property Owner’s Name:____________________________________________ Phone No:_________________
Name Home is registered in: __________________________________________________ Phone No.: _______________________
Exact Address of where home is to be placed:___________________________________________ City:____________________________
State/Zip:__________________ Tax Map No:______________________________ Name of Power Company: ____________________
Name of Park or Subdivision:____________________________________ Space No:____________ Is This A Corner Lot____________
All Manufactured Homes must be installed and setup by a properly SC Licensed Manufactured Housing Contractor,
Dealer or Installer and be present at the time of permitting or provide a Permit Agent Authorization form
Name:_________________________________ Co. Name:____________________________ License No:___________ Exp. Date:________
Mailing Address:___________________________________________________City:________________State/Zip:_________________
Phone No:_____________________________ Mobile No: _______________________________
Email: _______________________________________________________________________________
*If the property is in a zoned area of the County, prior to permit being issued, the zoning will be verified and all zoning requirements will have
to be met (including setbacks, floodplain, road frontage, etc.)
Please check in the Register of Deeds office, Suite 1300 for deed
restrictions/covenants and subdivision regulations, which may prohibit manufactured homes - these are the owner’s
responsibility
.
1. Type of Sewer Facility on the property:
Public Sewer: An impact fee or exemption form will be required from Renewable Water Resources (ReWa), 864 299-0260
and a sewer tap from the sub-sewer district, if this is the first time a home will be on sewer at this location.
Septic Tank: Application for septic tank will be made through the Permit Application Center and requires an approval from
the Health Department prior to registering manufactured home in Suite 1000.
2.
Before the issuance of a set up permit, the homeowner must go to the Building Safety/Zoning Office, Suite 4100, to
verify that the home is allowed at the site location. Once approved by Building Safety/Zoning, the home then must
be registered at the Mobile Home Office, Suite 1000; phone# 864-467-7600.
3. Home purchased from a Manufactured Home Dealer
a Copy of the Bill of Sale and Form 400 or Title will be required
.
4. Home purchased from Private Owner:
a. The Mobile Home office will verify information for homes purchased in Greenville County
b. If purchased from someone in another county in South Carolina,
a moving permit from the other County, a copy of the
Bill of Sale and form 400 or title will be required.
c. If home is purchased from out-of-state,
the city and state from previous location is needed and a copy of the Bill of
Sale and form 400 or title will be required.
For information regarding culverts, driveways, or encroachment permits, on county roads contact 864 467-7016, for state roads contact 864 241-1224.
The applicant hereby certifies and agrees as follows: 1) That he/she is authorized to make this application; 2) That he/she has read the above information and
it is true and correct; 3) That he/she will comply with all County of Greenville ordinances, laws and regulations, all State and Federal Laws and regulations
regulating the use of land and structures and the construction of structures; 4) That he/she will perform only the work outlined above at the property indicated
above; 5) That he/she grants the right of entry to the property to the Building Official or employees of the County of Greenville for the purpose of inspections,
and posting of notices. If any of the information supplied by the owner and/or owner’s agent is incorrect, the permit may be revoked.
THIS PERMIT WILL BECOME INVALID WITHIN 6 MONTHS FROM DATE OF ISSUE IF: WORK HAS NOT COMMENCED, IF AN
INSPECTION HAS NOT BEEN REQUESTED, OR IF WORK HAS BEEN SUSPENDED FOR A PERIOD OF 6 MONTHS.
This permit is permission to proceed with construction and shall not be construed as authority to violate, alter or set aside any of the provisions of the Building
Code and any other applicable laws or ordinances, nor shall the issuance of this permit prevent the Building Official from requiring correction of errors in
construction documents or of violations of the Building Code of the County of Greenville, South Carolina.
DATE:____________________________ BY OWNER OR AUTHORIZED AGENT:________________________________________________
PRINT NAME:________________________________________________
Permit No: ______________ Cost of Permit: $______________
H:\P Wright\ManufacturedHomeApplication\October - 2017
Single Installation for property located at
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GREENVILLE COUNTY
Greenville County Square
301 University Ridge, Suite 4100
Greenville, SC 29601-3686
Phone: (864) 467-7060
permits@greenvillecounty.org
Authorization
hereby authorize the following to act as my agent in obtaining a Setup/Installation Manufactured Home
Permits in:
Multiple Locations within Greenville County.
or
(SC License Holder’s Name as listed with SC LLR)
(SC State License Number) (SC State License Type)
Date
Zip
State
City
Provide Name of SC Licensed Installer, Contractor, or Retail Dealer’s and Sign at the bottom
Address
Phone Number Email
PERMIT AGENT AUTHORIZATION:
MANUFACTURED HOUSING
THIS LETTER SUPERSEDES ANY PREVIOUSLY SUBMITTED LETTER(S) OF AUTHORIZATION. This letter must contain only the people you want to pull permits in your
name. To make changes to the letter, you must submit a new letter. This authorization is to remain in effect, unless canceled in writing by the undersigned.
A PICTURE ID MAY BE REQUIRED TO BE PRESENTED AT THE TIME THE LISTED AUTHORIZED AGENT SECURES THE PERMIT.
Authorized Agents
Agent Name
Agent Name
Agent Name
Agent Name
Agent Name
Date
Permit Version
10.18.2017-JH03
Print Name
*Signature
click to sign
signature
click to edit
Grading/Erosion Control Acknowledgement
Single Family Residential Construction
Site Location Address: __________________________________________________________
Tax Parcel Number: ____________________________________________________________
Subdivision Name: ___________________________________ Lot #: ___________________
Owner, Builder, or General Contractor (please initial each section):
( )
I certify that I have been given a copy of the Single Family Residential Erosion/Sediment Control Standards
booklet or that I will use the link below to print out and reference these standards:
http://www.greenvillecounty.org/landdevelopment/pdf/ErosionSedimentContolStandard.pdf
( )
I certify that I will follow the Stormwater Pollution Prevention Plan (SWPPP) for the subdivision or comply
with requirements outlined in the Single Family Residential Erosion/Sediment Control Standards
( )
I am responsible for implementing, maintaining and monitoring effectiveness of the SWPPP during
construction on the lot(s) listed above
( )
I understand and agree to implement required erosion and sediment control measures described or outlined
in the Single Family Residential Construction Erosion/Sediment Control Standards
( )
I understand that I may need to supplement or modify implemented protection measures as site conditions
develop to control on-site erosion and ensure all site runoff is adequately treated by stormwater controls
( )
I am responsible for actions of all subcontractors and delivery personnel at the worksite as they relate to the
SWPPP and Single Family Residential Construction Erosion/Sediment Control Standards
( )
I understand that if this lot is a part of a larger common plan of development without developer-provided NOI
coverage I must apply for Individual Lot (IL)-NOI coverage as required by SC DHEC (Stormwater Permitting-
2600 Bull St., Columbia, SC 29201). Or, if I am disturbing over 1 acre of land that is not a part of a larger
common plan of development, I will obtain a land disturbance permit from the Land Development Division
(301 University Ridge, Suite 3900, Greenville, SC, 29601)
( )
I acknowledge that non-compliance of Single Family Residential Construction Erosion/Sediment Control
Standards will result in Notice of Violations and/or Stop Work Orders. Non-compliance may also lead to
permit suspension, revocations, penalty fees, and civil penalties starting at $1000.00 per day
____________________________________________ ______________________________________
Company Name or Property Owner (please print) Street Address
____________________________________________ __________________ __________________
City State Zip Code Telephone Fax
____________________________________________ ______________________________________
Contact Name (if owner is company-please print) Signature
Building Permit Number: _______________ Issued By: _______________ Date: _______________
Jurisdiction: Unincorporated Fountain Inn Mauldin Simpsonville Travelers Rest
For more information visit www.scdhec.gov/stormwater Original copy: Codes Enforcement
Carbon (yellow) copy: Property Owner