Kerman, CA · Fresno County
Owner-Builder Acknowledgment and Information Verification Form
Property owners named as builders on a building permit complete this form to acknowledge owner-builder responsibilities and verify information about the proposed construction.
What this form is
The form explains owner-builder responsibilities and risks, then asks the property owner to read and initial statements, provide the project address, and sign and date the acknowledgment. The city requires the completed form before issuing an owner-builder building permit. An agent authorization section is included for owners who designate someone to apply for a construction permit.
Who needs it
Property owners applying for a building permit in their own names as owner-builders must complete and return this form before the permit can be issued.
How to submit it
Complete and sign the form, then return it to the agency responsible for issuing the permit at the official address indicated on the application.
About notarization
This form has no notary block; the owner signs and dates it, though notarization is listed as one possible signature-verification option alongside a driver’s license or other agency-approved verification.
How to submit this form
- 1
Download the Form
Download the Owner-Builder Acknowledgment and Information Verification Form.
- 2
Complete the Acknowledgment
Read and initial each statement, enter the construction address, and sign and date the form.
- 3
Prepare Verification
The form says signature verification may use a driver’s license, notarization, or other verification acceptable to the agency when the permit is issued.
- 4
Return the Form
Return the completed form to the permit-issuing agency at the official address indicated on the application.
Frequently asked questions
- Do I need a notary for the Owner-Builder Acknowledgment Form?
- No notary block is provided, and the owner signs and dates the form. For signature verification when the permit is issued, the form lists a driver’s license, notarization, or other verification acceptable to the agency.
- Who completes the Owner-Builder Acknowledgment Form?
- The property owner completes it when applying for a building permit in their own name as the owner-builder. An agent cannot execute the acknowledgment unless the permitting authority has first approved it.
- How do I submit the Owner-Builder Acknowledgment Form?
- Complete and sign the form, then return it to the agency responsible for issuing the permit at the official address indicated on the application.