Horry County Code Enforcement Mobile Home Permit Application Form printable pdf download

Horry County Code Enforcement Mobile Home Permit Application Form

FLOOD ZONE ______________

BFE________________________

PERMIT #_______________

PANEL#____________________

APPROVED BY_____________

HORRY COUNTY CODE ENFORCEMENT

MOBILE HOME PERMIT APPLICATION

DATE______________________________ TELEPHONE # __________________________________

NAME _______________________________________________________________________________

ADDRESS ____________________________________________________________________________

LOCATION / STREET NAME___________________________________________________________

SUBDIVISION ________________________________________________ LOT #__________________

(PERMIT FEE $75.00)

AMOUNT PAID $___________________

MOBILE HOME STICKER #_____________________

TMS #_____________________________

DIST 61 FIRE IMPACT #_________________________

VALUE $ __________________________

ADDITION (S) ____________________________SQ FT

( ) IS located in Flood Zone

( ) IS NOT located in Flood Zone

( ) Replacing Mobile Home

( ) Zoned Area/Zoning Approved ($10)

( ) Sewer or Septic Approval

( ) Existing Septic Approval

______________________________

Permit Issued By

_________________________________

Owner ( ) Agent ( )

______________________________

Date

***BUILDING PERMIT FEES ARE NOT TRANSFERABLE OR REFUNDABLE***

Horry County Code Enforcement Mobile Home Permit Application Form