Rush Notary

Surprise, AZ · Maricopa County

No notary required

Hold Harmless Sample Letter

Property owners use this sample letter when seeking a construction permit for a project under Surprise’s Self-Certification Program.

What this form is

This sample letter is for a property owner seeking a construction permit under the Self-Certification Program. It identifies the project and owner, and states the owner’s agreement to protect and indemnify the City in connection with the project. It also says the owner will remove or modify, at their own expense, project components that do not meet the Surprise Municipal Code or permit.

Who needs it

A property owner seeking a construction permit for a project under the Self-Certification Program uses this letter.

How to submit it

Print the letter on the property owner’s letterhead, complete and date it, and address it to Community Development at 16000 N. Civic Center Plaza, Surprise, Arizona 85374.

About notarization

This sample letter is signed without a notary; the property owner prints it on letterhead, dates it, and signs it.

How to submit this form

  1. 1

    Download The Letter

    Download the Hold Harmless Sample Letter PDF.

  2. 2

    Complete The Letter

    Print it on the property owner’s letterhead and fill in the date, project name, project address, and property owner name.

  3. 3

    Sign The Letter

    The property owner signs the letter.

  4. 4

    Submit To Community Development

    Address the letter to Community Development at 16000 N. Civic Center Plaza, Surprise, Arizona 85374.

Frequently asked questions

What is the Hold Harmless Sample Letter for?
It states a property owner’s agreement to protect and indemnify the City in connection with design, construction, or code compliance review for a project.
Who uses this letter?
A property owner seeking a construction permit under the Self-Certification Program uses the letter for the project identified in it.
Do I need a notary for the Hold Harmless Sample Letter?
No. This letter is signed without a notary; the property owner prints it on letterhead, dates it, and signs it.
How do I submit the Hold Harmless Sample Letter?
Print it on the property owner’s letterhead, complete and date it, and address it to Community Development at 16000 N. Civic Center Plaza, Surprise, Arizona 85374.

Need something notarized?

This Hold Harmless Sample Letter doesn’t need a notary — but if you have another Surprise form that does, a commissioned online notary can help.