Surprise, AZ · Maricopa County
Owner-Applicant Certification Statement
Property owners or applicants sign this statement for a proposed project in Surprise under the city’s Self-Certification Program.
What this form is
This statement records the property owner’s or applicant’s responsibilities for a proposed scope of work in the Self-Certification Program. The signer confirms authorization of professionals named on the associated construction plans and supporting documentation, and agrees to address misrepresentations and make remedial measures needed for compliance. The form states that approval for a building permit is subject to audit and/or field inspection.
Who needs it
The property owner or applicant responsible for the proposed scope of work must sign the statement.
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 owner or applicant signs and provides a printed name, and an agent also provides a title when applicable.
How to submit this form
- 1
Download The Statement
Download the Owner-Applicant Certification Statement PDF.
- 2
Complete The Project Details
Enter the project address and the owner or applicant’s printed name and phone number.
- 3
Gather Associated Documents
Refer to the associated construction plans and supporting documentation named in the statement.
- 4
Sign And Submit
Sign the statement, add an authorized agent’s title if applicable, and submit it to the city department named on the form.
Frequently asked questions
- Who signs the Owner-Applicant Certification Statement?
- The property owner or applicant responsible for the proposed scope of work signs. For a corporation, partnership, or LLC, an authorized agent may sign and provide the agent’s title.
- What does the statement certify?
- The signer confirms authorization of professionals named on the associated plans and supporting documents, and agrees to address misrepresentations and remedial measures needed for compliance.
- Do I need a notary for the Owner-Applicant Certification Statement?
- No. This document is signed without a notary; the owner or applicant signs and provides a printed name, and an agent also provides a title when applicable.
- How do I submit the Owner-Applicant Certification Statement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Owner-Applicant Certification Statement doesn’t need a notary — but if you have another Surprise form that does, a commissioned online notary can help.