Eureka, CA · Humboldt County
Authorized Agent Release Form
Property owners use this form to authorize an agent to apply for, sign, and file documents for an Owner-Builder Permit project.
What this form is
This form authorizes a named agent to act on a property owner’s behalf for documents needed to obtain an Owner-Builder Permit. It asks for the construction work and project address, the agent’s name and contact details, and the owner’s signature and date. The owner is personally responsible for executing the Notice to Property Owner.
Who needs it
A property owner who wants another person to apply for, sign, and file documents for an Owner-Builder Permit project uses this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This form is signed without a notary; when the permit is issued, the owner must present a driver’s license copy, notarization, or other acceptable verification of the owner’s signature.
How to submit this form
- 1
Download the Form
Download the Authorized Agent Release Form for the project.
- 2
Complete the Project Details
Enter the construction work description, project address, and authorized agent’s name and contact information.
- 3
Sign and Date
The property owner signs and dates the form and is responsible for executing the Notice to Property Owner.
- 4
Present Signature Verification
When the permit is issued, present a driver’s license copy, notarization, or other verification acceptable to the agency.
- 5
Submit to the City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What does the Authorized Agent Release Form do?
- It authorizes a named person to apply for, sign, and file documents needed to obtain an Owner-Builder Permit for the owner’s project.
- What information does the form ask for?
- It asks for the project work and address, the authorized agent’s name and contact information, and the property owner’s signature and date.
- Do I need a notary for the Authorized Agent Release Form?
- No. The form has no notary block. At permit issuance, the owner must present a driver’s license copy, notarization, or other verification acceptable to the agency to verify the owner’s signature.
- How do I submit the Authorized Agent Release Form?
- Submit it to the city department named on the form; check the city website for current contact details.