City of Byron - Manufactured Home Permit Application

Manufactured Home Permit Application
Single WideDouble WideAlteration/ Addition
Date*

MonthDayYear
Date
Permit No. *
Estimated Cost of Construction (Laborand Materials): $*
JOB SITE ADDRESS:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Acreage of site:*
Map and Parcel #:*
Zoning District:*
Description of Work : *
Property Owner
Name:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Installer / Contractor
Name:*
GA License #:*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Serial #: *
Model #: *
Year: *
Manufacturer: *
Length: *
Width: *
#Bedrooms *
#Bathrooms *
Heated Sg. Ft.: *
Unheated Sq. Ft.: *
Notice: No changes shall be made from that which is stated in this application, or in attached plans and specifications, except by submitting a revised application, plans and/or specifications and receiving approval of the Chief Building Official for such change. Granting of a permit shall not be construed as a permit for or an approval of any violation of the Building Code or any other state or local law regulating construction or the performance of construction. I hereby certify that I have read and examined this application and the information provided herein is true and correct. I further certify that all construction will comply with the International Building Codes.
Signature of Licensed Cardholder or Applicant

Clear
Date

MonthDayYear
Date

Rows	Sq. Footage	Valuation Multiplier	Satisfied	Valuation $
Heated
Unheated
TOTAL

FOR OFFICE USE ONLY
Construction Type:
Code Official Signature:
Occupancy:
YesNo
Administrative Fee:
Plan Review Fee:
Permit Fee:
CC Fee:
Total Fee:
Manufactured Home Permit Application Checklist

The following list of documentation is required before a permit will be issued for residential construction. Incomplete forms will not be processed and will delay permit issuance. Please return this form with all permit application submittals.
- Completed building application
- Installer’s licensing documentation (state, business and driver’s)
- Completed electrical subcontractor trade permit
- Electrical subcontractor licensing documentation (state, business and driver’s)
- Additional Trade permits and license documentation if applicable (plumbing, HVAC)
- Scaled site plan detailing project location, location of other structures on property)
- Verification of 911 Addressing
- Verification of water/sewer connection as applicable
- Septic permit (if applicable)
Project Address:
Applicant Name:
Received by:
Date

MonthDayYear
Date
Inspection Request Guidelines

The following list of information is required in order to schedule inspections . Incomplete information will delay in scheduling an inspection. All inspection requests must be submitted by phone or email by 4pm for next business day inspection.

Permit Number

Site Address (please include suite/apt numbers Type of Inspection

Contact name and phone number

Notes (ex: lock box/garage code, call ahead, etc.)

Email

inspectionsga@bureauveritas.com

Phone number 706-768-0751
Please verify that you are human*
Should be Empty:

Manufactured Home Permit Application

Property Owner

Installer / Contractor

FOR OFFICE USE ONLY