Brentwood, CA · Contra Costa County
Authorization to Act as an Agent
Property owners use this form to authorize another person to obtain necessary permits for work at the owner’s Brentwood property.
What this form is
This form authorizes a named person to act as the property owner’s agent to obtain necessary permits for described work at the property. It asks for the property address and APN, a description of the project, the agent’s name, and the owner’s signature, printed name, and date; it also includes an indemnity agreement.
Who needs it
A property owner who wants another person to obtain necessary permits for work at the owner’s Brentwood property needs this form.
How to submit it
The form lists Neighborhood Services at 150 City Park Way, Brentwood, CA 94513, and provides a fax number, (925) 516-5407. It does not specify a submission method.
About notarization
This document is signed without a notary; the property owner signs and dates the form, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download the Form
Download the Authorization to Act as an Agent form.
- 2
Complete the Property and Project Details
Enter the property address, APN, project description, and the name of the person authorized to act as agent.
- 3
Sign and Date
The property owner signs the form, prints their name, and enters the date.
- 4
Submit to the City
The form lists Neighborhood Services at 150 City Park Way and fax number (925) 516-5407; it does not state a submission method.
Frequently asked questions
- What does the Authorization to Act as an Agent form do?
- It lets a property owner authorize a named person to obtain necessary permits for work described on the form at the owner’s property.
- What information does the form ask for?
- It asks for the property address and APN, a project description, the agent’s name, and the property owner’s signature, printed name, and date.
- Do I need a notary for the Authorization to Act as an Agent form?
- No. The form has a space for the property owner to sign and date it; it does not mention a notarized or sworn attachment.
- How do I submit the Authorization to Act as an Agent form?
- The form lists Neighborhood Services at 150 City Park Way, Brentwood, CA 94513, and a fax number, (925) 516-5407, but does not specify how to submit it.
Need something notarized?
This Authorization to Act as an Agent doesn’t need a notary — but if you have another Brentwood form that does, a commissioned online notary can help.