What does the Representative’s Authorization allow?

It authorizes the named representative to apply for, sign, and file documents necessary to obtain an Owner-Builder Permit for the property owner’s project.

What information does the form ask for?

It asks for the project work description and location, the representative’s name and contact details, and the property owner’s declaration, signature, and date.

Amador County, CA · Amador County

No notary required

Representative’s Authorization

Property owners use this form to authorize a representative to apply for, sign, and file documents for an Owner-Builder Permit project.

At a glance

Issued by: City of Amador County · Amador County, Amador County, California
Notarization: Not required: file this form without a notary.
Official source: amadorcounty.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form authorizes a representative to act for a property owner in applying for, signing, and filing documents needed for an Owner-Builder Permit. It asks for the construction work and location, the representative’s contact details, and the owner’s declaration, signature, and date. The submission must include a driver’s-license copy, form notarization, or other verification acceptable to the agency.

Who needs it

A property owner who wants another person to handle documents for an Owner-Builder Permit project should complete and submit this authorization.

How to submit it

Submit the form to the Transportation and Public Works Department at 810 Court Street, Jackson, CA 95642-2132, or email [email protected].

About notarization

This form is signed and dated without a notary; the submission must include a driver’s-license copy, form notarization, or other verification the agency accepts.

How to submit this form

1
Download the Form
Download the Representative’s Authorization PDF.
2
Complete the Form
Enter the project work and location, representative details, and the property owner’s declaration.
3
Sign and Gather Verification
The property owner signs and dates the form. Include a driver’s-license copy, form notarization, or other verification acceptable to the agency.
4
Submit to the County
Submit the form to the Transportation and Public Works Department by mail or email using the contact details on the form.

Frequently asked questions

What does the Representative’s Authorization allow?: It authorizes the named representative to apply for, sign, and file documents necessary to obtain an Owner-Builder Permit for the property owner’s project.
What information does the form ask for?: It asks for the project work description and location, the representative’s name and contact details, and the property owner’s declaration, signature, and date.
Do I need a notary for the Representative’s Authorization?: No. The owner signs and dates this form without a notary. The submission must include a driver’s-license copy, form notarization, or other verification acceptable to the agency.
How do I submit the Representative’s Authorization?: Submit it to the Transportation and Public Works Department at 810 Court Street, Jackson, CA 95642-2132, or email it to [email protected].

Need something notarized?

This Representative’s Authorization doesn’t need a notary, but if you have another Amador County form that does, a commissioned online notary can help.