Mesa, AZ · Maricopa County
Professional of Record Application
Design professionals and owners use this application to certify project documents and agree to corrective actions for Mesa’s self-certification program.
What this form is
This application records certifications from design professionals and an owner or tenant for a building permit project in Mesa’s self-certification program. Professionals provide project details, sign and provide their seals, and certify that submitted documents meet applicable requirements; the owner or tenant agrees to correct errors and address requirements from the Building Official. If more than four design professionals are involved, the form directs applicants to provide additional forms.
Who needs it
Design professionals and the owner or tenant involved in a project using Mesa’s self-certification program complete the applicable sections.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the professionals provide their seals, and each signer signs and dates their section.
How to submit this form
- 1
Download The Application
Download the Professional of Record Application PDF.
- 2
Complete The Applicable Sections
Enter the application or permit number and project address, then complete the applicable professional and owner or tenant sections.
- 3
Gather Additional Forms
Provide additional forms if more than four design professionals are involved.
- 4
Sign And Provide Seals
Sign and date the applicable sections; design professionals provide their seals.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Professional of Record Application?
- No. This document has signature and date fields but no notary block; design professionals provide their seals.
- Who completes the Professional of Record Application?
- The design professionals named on the form complete their certification sections, and the owner or tenant completes the corrective action agreement.
- How do I submit the Professional of Record Application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What if more than four design professionals are involved?
- The form says to provide additional forms if more than four design professionals are involved.
Need something notarized?
This Professional of Record Application doesn’t need a notary — but if you have another Mesa form that does, a commissioned online notary can help.