Do I need a notary for the Agent Authorization Form?

No. The form is signed and dated without a notary, though it includes the owner's declaration under penalty of perjury.

How do I submit the Agent Authorization Form?

Return the completed, signed form to the City of Clearlake Building Department. Present the owner's driver's license or other acceptable verification when the permit is issued.

Do I need a new form for each permit?

Yes. The form states that a new agent authorization is required for each permit, even if you submitted one with a previous permit.

Clearlake, CA · Lake County

No notary required

Agent Authorization Form to Act on Property

Property owners file this form to authorize an agent to apply for, sign, and file documents for an owner-builder permit on a specific project.

What this form is

This form authorizes a named agent to apply for, sign, and file documents needed to obtain an owner-builder permit for a specific project. The City requires a completed, signed form for each permit before issuing it, even if the owner submitted one for a previous permit. It asks for project, owner, and agent contact details and the owner's signature and date.

Who needs it

A property owner who wants an agent to handle documents for an owner-builder permit must complete and sign this form for each permit.

How to submit it

Return the completed, signed form to the City of Clearlake Building Department. Present a copy of the property owner's driver's license or other verification acceptable to the agency when the permit is issued.

About notarization

This form is signed and dated without a notary; it includes the owner's declaration under penalty of perjury.

How to submit this form

1
Download The Form
Download the Agent Authorization Form to Act on Property.
2
Complete The Form
Enter the project address, owner and agent details, and the agent's relationship to the owner.
3
Sign And Date
The property owner must sign and date the form.
4
Prepare Verification
Prepare a copy of the owner's driver's license or other verification acceptable to the agency for the permit issuance.
5
Return It To The City
Return the form to the City of Clearlake Building Department.

Frequently asked questions

Do I need a notary for the Agent Authorization Form?: No. The form is signed and dated without a notary, though it includes the owner's declaration under penalty of perjury.
How do I submit the Agent Authorization Form?: Return the completed, signed form to the City of Clearlake Building Department. Present the owner's driver's license or other acceptable verification when the permit is issued.
Do I need a new form for each permit?: Yes. The form states that a new agent authorization is required for each permit, even if you submitted one with a previous permit.

Need something notarized?

This Agent Authorization Form to Act on Property doesn’t need a notary — but if you have another Clearlake form that does, a commissioned online notary can help.