El Cerrito, CA · Contra Costa County

No notary required

Authorization to Act as Agent

This form authorizes a designated agent to apply for, sign, and file documents needed to obtain a construction permit on behalf of a property owner or contractor.

What this form is

An owner or contractor completes this form when designating an agent to apply for a construction permit. It identifies the project and authorized agent, and asks for the owner’s or contractor’s contact and business information, signature, and date. The signer also declares under penalty of perjury that they are the listed owner or contractor and that the information is accurate.

Who needs it

A property owner or contractor who wants another person to apply for, sign, and file documents for a construction permit needs this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form identifies the Community Development Department.

About notarization

This form does not require a notary; the owner or contractor signs and dates a declaration under penalty of perjury.

How to submit this form

  1. 1

    Download the Form

    Download the Authorization to Act as Agent form.

  2. 2

    Complete the Project Information

    Enter the project details and complete the section for an agent acting for the owner or contractor.

  3. 3

    Identify the Authorized Agent

    Provide the authorized agent’s name and contact information.

  4. 4

    Sign and Submit

    The owner or contractor signs and dates the declaration, then submits the form to the city department named on it.

Frequently asked questions

Who completes the Authorization to Act as Agent form?
The property owner or contractor completes the form when designating someone to apply for, sign, and file documents needed to obtain a construction permit.
What information does the form request?
It asks for project details, owner or contractor information, the authorized agent’s contact information, and the owner’s or contractor’s signature and date.
Do I need a notary for the Authorization to Act as Agent form?
No. The owner or contractor signs and dates a declaration under penalty of perjury; the form does not require a notary.
How do I submit the Authorization to Act as Agent form?
Submit it to the city department named on the form; check the city website for current contact details. The form identifies the Community Development Department.

Need something notarized?

This Authorization to Act as Agent doesn’t need a notary — but if you have another El Cerrito form that does, a commissioned online notary can help.