Fill - Free fillable RESIDENTIAL BAY COUNTY BUILDERS SERVICES DIVISION MANUFACTURER/MOBILE HOME (Bay County Board of County Commissioners) PDF form

BAY COUNTY BUILDERS’ SERVICES DIVISION

RESIDENTIAL

MANUFACTURER/MOBILE HOME PLAN REVIEW SUBMITTAL FORM

(For HUD approved structures only)

AVOID PROCESSING DELAYS

Please provide all applicable items listed below. This form is Not for Planning Division submittals.

Parcel Number (Property ID #)

1______ Completed Application Packet

2______ Scaled Site Plan of Property showing the following:

- Placement of Mobile Home with dimensions to each property line

- All other structures on the property; car ports, sheds, pole barns

- Wetlands (if applicable) showing the 30’ buffer

- Flood Zone line (if applicable)

3______ Blocking Plan (If property is located in a flood zone, an engineered foundation and

elevation certificate will be required)

4______ What is the flood zone for the property? ______X ________AE

5______ Septic Tank permit (Required) or letter from the Health Department approving existing

tank

6______ Utilities receipt (water and/or sewer) (If applicable)

7______ Driveway permit. All driveways on County maintained roads need to be inspected by

roads and bridges. New Driveways, contact Engineering @ 248-8301. Existing

Driveways, contact Roads and Bridges @ 248-8810.

8______ Copy of recorded Deed or Authorization letter from property owner

9______ Recorded Notice of Commencement

10_____ Will the Mobile Home be located within 1,500 feet of the Gulf of Mexico?

_____Yes _____ No

If Yes, the Mobile Home must meet Zone II Exposure D requirements.

11_____ Replacement Mobile Home _____ New Mobile Home_____

12_____ Power Company: _____ Gulf Power _____REA

Notes:

 If the property is undeveloped, there will be an additional fee of $446.70 added to the permit

fee for Bay County Impact fees.

 Reviewed site plan must be posted on job site for inspection.

 A final approval for septic tank from Bay County Health Department is required before

the power can be released.

 Your electric power cannot be turned on until the driveway final inspection is approved

and filed.

Applicant’s Signature Telephone #

Cell Phone # Email:

Revised August 13, 2018

Form B24

Form B25

APPLICATION FOR MANUFACTURED/MOBILE HOME SET UP PERMIT

Date: Permit Number:

HOMEO

WNER NAME:

Phone

Addre

ss: City, State & Zip Code:

LICENSED I

NSTALLER’S NAME:

Phone

Sta

te License Number: Decal Number:

ADDRESS OF PROPOSE

D SITE:

LOT NUMBER if applicable

Parcel ID Nu

mber (Required)

scription of Mobile Home: Size Color

Make:

Model: Year:

Is this re

placing a previous mobile home or structure? Yes______ No _______

AFFIDAVIT: I hereby certify that the information contained in this application is true and correct and that all work will be

done in compliance with all applicable laws regulating construction and zoning. Application is hereby made to obtain a

permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the

issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this

jurisdiction. I understand that separate permits must be secured for electrical and mechanical work.

NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that

may be found in the public records of this county, and there may be additional permits required from other government

entities such as water management districts, state agencies, or federal agencies.

(Print Contractor/Dealer or Agent) (Signature Contractor/Dealer or Agent)

STATE OF FLORIDA

COUNTY OF BAY

Sworn to (or affirmed) and subscribed before me this day of , 20

(Signature of Notary Public - State of Florida)

Personally Known _____ OR Produced Identification _____

Type of Identification Produced_______________

Bay County Builders Services

840 W. 11

ST.

Panama City, FL 32401

850-248-8350 Fax: 850-248-8384

Form B05

Revised 5/30/12

NOTICE OF COMMENCEMENT

Permit No. Tax Folio No.

State of Florida

County of Bay

To Whom It May Concern:

The undersigned hereby gives Notice that improvement will be made to certain real property, and in

accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of

Commencement.

Description of property (legal description of the property, and street address if available):

General description of improvement:

Owner Name:

Address:

Owner’s interest in site of the improvement:

Fee Simple Titleholder Name:

Address:

Contractor Name:

Address:

Phone Number:

Payment Bond Surety:

Address:

Phone Number: Amount of Bond: $

Lender Name:

Address:

Phone Number:

Person within the State of Florida designated by Owner upon whom Notices or other documents may be

served as provided by Section 713.13(1) (a) 7., Florida Statutes:

Name

Address

Phone Number:

In addition to himself or herself, Owner designates

of to receive a copy of the Lienor’s Notice

as provided in Section 713.13(1) (b), Florida Statutes. Phone Number:

Expiration date of Notice of Commencement is one (1) year from date of recording

unless a different date is specified .

Signature of Owner

Sworn to (or affirmed) and subscribed before me this day of , 20 ,

by (name of person making statement).

Signature of Notary Public (State of Florida)

NOTARY SEAL

Personally Known or Produced Identification

Type of Identification Produced _____________________

WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE

NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROVER PAYMENTS UNDER CHAPTER 713,

PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR

IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED

AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN

FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK

ON RECORDING YOUR NOTICE OF COMMENCEMENT.

Form B08

Revised 02/02/12

BAY COUNTY BUILDERS’ SERVICES DIVISION

RESIDENTIAL DRIVEWAY AFFIDAVIT

This notice is to inform you that a driveway final inspection will be needed for your

project if it is on a County road.

__________ New driveway - you will need to apply to the Engineering Department for

a Driveway Permit for a new access to a County road.

__________ Existing driveway - the inspection is still required, but is free of charge.

__________ Private Drive – No permit or inspection is required

All questions regarding driveway permits and inspections should be directed to the

Engineering Department at 248-8301.

Electricity cannot be turned on

Until the driveway final inspection is approved and filed.

I have read and understand the above,

Homeowner/Agent/Contractor Signature

Date

Form B09

Revised 5/30/12

BAY COUNTY BUILDERS’ SERVICES DIVISION

STATEMENT FOR WATER

Site Address: _____________________________________

WELL A working potable water well located on the site which will be used

water supply to the structure. (no public utilities are available)

SEPTIC TANK A new or existing septic system located on the site will be

used. (Provide a current septic permit or existing system letter from the Bay

County Health Department before building permit can be issued.

PUBLIC UTILITIES – WATER Are available and will utilized for water to the

structure. (Provide water receipt from serving utility company indicating

available service and that all tap fees and impact fees have been paid)

PUBLIC UTILITIES – SEWER Are available and will be utilized for sewer to

the structure. (Provide sewer receipt from serving utility company indicating

available services and that all tap fees have been paid)

Owner/Agent/Contractor Signature

Date

Form B26

Revised 10/10

BLOCKING PLAN

Address: Permit #:

Single wide or one unit of double or triple wide

Complete All Below: Check One Below: Check One Below:

Year and Make Single-Wide Torque test for anchors:

Size of Home Double-Wide 276in/lbs or more (4ft anchors)

Tested Soil psf Additional Units 275in/lbs or less (5ft anchors)

Footer (pad) size Block Spacing

IMPORTANT NOTES:

1) End blocking required within one (1) foot of ends.

2) Above blocking typical - number varies with length.

3) Home must have a HUD label and must be approved for wind zone II or III.

4) Marriage walls to be adequately supported.

5) Straps not to exceed 5’ 4”o.c. homes manufactured after 3/29/99.

6) After 5/29/99, longitudinal ties required (two (2) straps and anchors per end of beams).

7) Torque test value of less than 276 in/lbs requires 4000lb working load anchors (5ft).

The above information and testing is in accord with Rule 15C of the Department of Highway Safety and Motor

Vehicles.

(Signature of Contractor)

STATE OF FLORIDA

COUNTY OF BAY

Sworn to (or affirmed) and subscribed before me this day of , 20 ,

by .

(Signature of Notary Public - State of Florida)

(Notary Stamp or Seal)

Personally Known _____ OR Produced Identification _____

Type of Identification Produced_______________

Marria

e wall blockin

as re

uire

Blockin

at doors

fire

laces

etc.

NOTE: All stairs not provided by the manufacturer must meet section R311 of the

Residential Building Code for required landings, handrails, and guards. Please be

aware of this requirement for the safety of the occupants.

Manufacturers installation manual must be available at inspection time for new homes.

Form B16

Revised April 18, 2019

“A” AND “V” FLOOD ZONES

IMPORTANT INFORMATION FOR

THOSE WHO BUILD ON PROPERTIES IN SPECIAL FLOOD HAZARD AREAS

A special flood hazard area is where FEMA has determined that there is a greater chance for flooding to occur.

The effective FEMA map is dated June 2, 2009. When building in these areas, two additional documents will be

needed for your file and certain procedures must be followed. Failure to follow them could result in substantial

extra costs and delays.

A suggested first step when building in these areas is to obtain a licensed land surveyor. He or she will first

determine the Base Flood Elevation (BFE) of the area. This is the expected highest level of the water during a

flood. He or she then places a “benchmark” on the property, which is used to determine how high this flood

water level will be on your property.

 You must then build your floor above that flood water level.

 For manufactured homes approved by HUD, only a final elevation certificate is required. For site

built homes, two elevation certificates are required.

In unincorporated Bay County and the City of Panama City, your lowest floor must be 1 foot above the BFE.

Immediately after your slab is poured (or joists and girders installed for framed floor systems), the surveyor must

then prepare a document called an “Elevation Certificate” (EC) that will verify your building floor is in

compliance.

 Don’t wait to get this first Elevation Certificate.

It is important to get this first EC done soon after the floor is finished because, if for any reason, the floor is too

low (below BFE), it will have to be raised to the proper level.

 NOTE: Section 110.3 of the code requires the under construction elevation certificate to be

submitted to the building official prior to vertical framing.

The second EC is called for when the home and site (finished grade) are completed and nearing the final

inspection. It again documents compliance of the floor and additionally documents other items like finished

grade, equipment (such as air conditioning systems, these items must meet the elevation requirements also),

flood venting if needed, etc.

 NOTE: Per section 110.3 of the code, the final inspection and Certificate of Occupancy cannot be

given until this second EC (Finished Construction EC) is provided for the file.

For additions to existing homes located in flood zones, please make an appointment with staff to consider the

applicable rules. “V” zones have wave action in addition to flooding hazards. They must meet all the above and

they have unique foundation requirements that will need structural engineering. If you have questions, please

call for assistance.

Why all the paperwork? FEMA provides low cost flood insurance for communities that make sure their new

homes and additions are safe from flooding, and it’s the law. Need further information? For questions regarding

your construction, call 248-8250, regarding the FEMA flood insurance program or go to

http://www.fema.gov/about/programs/nfip/index.shtm or call CRS Coordinator at 248-8250.

I have read and understand the above Dated

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RESIDENTIAL BAY COUNTY BUILDERS SERVICES DIVISION MANUFACTURERMOBILE HOME (Bay County Board of County Commissioners)

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