Selma, CA · Fresno County

No notary required

Disclosures for Owner-Builders Applying for Construction Permits

Property owners applying for a construction permit as owner-builders complete this acknowledgment form to confirm they understand their responsibilities and potential risks.

What this form is

Selma requires this form before issuing a building permit when a property owner is listed as the owner-builder. The owner reads and initials each provision, confirms responsibility for the proposed construction, and signs and dates the form. The document also requires a copy of the property owner’s identification to verify the signature.

Who needs it

Property owners listed as owner-builders on a construction permit application must complete and return this form before the permit can be issued.

How to submit it

Return the completed form to the City of Selma Building Department at 1710 Tucker Street, Selma, California 93662. The document says to include a copy of the property owner’s identification.

About notarization

The form has no notary block, and the signer signs and dates it; a copy of identification is required, while notarization or other accepted verification is mentioned as an alternative.

How to submit this form

  1. 1

    Download the Form

    Download the Owner-Builder Acknowledgment PDF.

  2. 2

    Read and Initial

    Read each provision and initial it to show that you understand or verify the information.

  3. 3

    Sign and Gather Identification

    Sign and date the form, and prepare a copy of the property owner’s identification.

  4. 4

    Return to the City

    Return the completed form and identification copy to the City of Selma Building Department at the address on the form.

Frequently asked questions

Do I need a notary for the Owner-Builder Acknowledgment?
No notary block is provided. The owner signs and dates the form, and a copy of identification is required; the document also mentions notarization or other accepted verification.
Who completes the Owner-Builder Acknowledgment?
The property owner listed as the owner-builder on a construction permit application reads and initials each provision, then signs and dates the form.
How do I submit the Owner-Builder Acknowledgment?
Return the completed form and a copy of the property owner’s identification to the City of Selma Building Department at 1710 Tucker Street, Selma, California 93662.
When must I return this form?
The form must be completed, signed, and returned before the City issues the building permit.

Need something notarized?

This Disclosures for Owner-Builders Applying for Construction Permits doesn’t need a notary — but if you have another Selma form that does, a commissioned online notary can help.