Mobile Home Permit Application Form printable pdf download

County of Greenville

“ . . . At Your Service"

Greenville County Square

301 University Ridge, Suite 4100

Greenville SC 29601-3660

Phone (864) 467-7060 Fax (864) 467-7407

MOBILE HOME PERMIT APPLICATION

APPLICATION MUST BE COMPLETED PRIOR TO REQUESTING PERMIT

Date:_____________

Property Owner’s Name:____________________________________________

Phone No:_________________

Exact Address of Property:___________________________________________ City:________________

State/Zip:__________________

Name of Mobile Home Park or Subdivision:_____________________________ Space No:___________ Tax Map No:____________________

Is This A Corner Lot__________

Name of Power Company____________________

Name of Gas Company_______________________

Name Mobile Home is registered in: _________________________________________

Phone No.: ________________________________

Road Information:

Private Road

Public Road

County Road

State Road

Zoning Classification:_________ *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 RMC Office, Suite

1300 for deed restrict ons/covenants and subdivis on regu at ons, wh ch may prohib mobi e homes - these are the owner’s

l i

responsibility

EXACT DIRECTIONS:___________________________________________________________________________________________

____________________________________________________________________________________________________________

Type of Sewer Facility on the property:

□

Public Sewer:

A sewer tap will be required from the Sewer District and a job acknowledgement form will be required

from Western Carolina Regional Sewer Authority if this is the first time a mobile home will be on sewer at

this location.

□

Septic Tank:

Application for septic tank will be made through the Permit Application Center and will take at least four

weeks for approval from the Health Department.

a Copy of the Bill of Sale and Form 400 or Title will be required

Mobile Home purchased from a Mobile Home Dealer –

Mobile Home purchased from Private Owner:

If purchased from someone in Greenville County,

we will require the name the mobile home was registered under with

Greenville County ________________________________ along with a Form 400 or Title.

a moving permit from the other County and a Form 400

If purchased from someone in another County in South Carolina,

or Title will be required.

he ci y and state from previous location is needed and a Form 400 or

If mobile home is purchased from out-of-state,

Title will be required.

Applications must be faxed to the Permit Application Center 48 hours in advance of permit pick up. For information regarding culverts, driveways, or encroachment

permits, contact 467-7016 if the property is on a county road or 241-1221 if the property is on a state road.

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.

If you are part of the Credit Card Program, Credit Card No., Name on Card, Expiration Date and Zip Code are required

Card No:_____________________________________

Expiration Date:_____________________________

Name on Card:_____________________________________

Zip Code:___________________________________

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:_____________________________________________________

Further Information Needed

Ready for Pickup

Permit No: ______________

Cost of Permit: $______________