Surprise, AZ · Maricopa County
Professional of Record Statement
This statement is completed by professionals participating in Surprise’s Self-Certification Program to certify information about their permit application and stamped plans.
What this form is
Professionals use this statement for a Surprise building permit submission through the Self-Certification Program. It asks for the project address, professional registration number, contact information, signatures, and professional seals, and includes certifications about the application and plans. The statement also describes responsibilities for correcting inaccurate information and addressing plans that do not comply with applicable requirements.
Who needs it
Architects, engineers, or other professionals identified on the form complete the statement for a project submitted through Surprise’s Self-Certification Program.
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 statement is signed without a notary; the listed professionals sign and affix their professional seals, and no sworn or notarized attachment is identified.
How to submit this form
- 1
Download The Statement
Download the Professional of Record Statement for the project.
- 2
Complete The Project Information
Enter the project address and professional registration and contact information requested on the form.
- 3
Review And Sign
Review the certifications, then have the listed professionals sign and affix their professional seals.
- 4
Submit To The City
Submit the statement with the application and plans to the city department named on the form.
Frequently asked questions
- What is the Professional of Record Statement?
- It is a statement for professionals in Surprise’s Self-Certification Program. It certifies information about the permit application and plans, and describes responsibilities for accuracy and compliance.
- Who completes this statement?
- The architects and engineers listed on the form provide project and registration information, sign the statement, and affix their professional seals.
- Do I need a notary for the Professional of Record Statement?
- No. The listed professionals sign and affix their professional seals; the document does not identify a sworn or notarized attachment.
- How do I submit the Professional of Record Statement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Professional of Record Statement doesn’t need a notary — but if you have another Surprise form that does, a commissioned online notary can help.