Who completes the Property Owner-Builder Verification Form?

The property owner listed as the builder on a construction permit reads, initials, completes, signs, and returns the form. An agent can be authorized to apply for the permit.

How do I submit the Property Owner-Builder Verification Form?

Return the completed and signed form to the agency responsible for issuing the permit at 26 Corte Madera Ave., Mill Valley, CA 94941, before the building permit is issued.

When is the agent authorization section needed?

The form says the authorization section is required only when the property owner designates an agent to apply for a construction permit for the Owner-Builder.

Mill Valley, CA · Marin County

No notary required

Property Owner-Builder Verification Form

Property owners listed as builders on a construction permit complete this form to acknowledge their responsibilities and verify project information before the city issues the permit.

What this form is

Mill Valley requires this form before issuing a building permit when a property owner applies as the Owner-Builder. The owner initials statements about responsibilities and risks, provides the project address, and signs and dates the form. If the owner designates an agent to apply for the permit, the form also includes an agent authorization section for the project details and owner’s declaration.

Who needs it

A property owner applying for a building permit as the Owner-Builder must complete this form; an agent may be designated using its authorization section.

How to submit it

Return the completed and signed form to the agency responsible for issuing the permit at the official address shown: 26 Corte Madera Ave., Mill Valley, CA 94941. The form says it must be returned before a building permit is issued.

About notarization

This document is signed without a notary; when the permit is issued, the agency requires 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 Property Owner-Builder Verification Form PDF.
2
Complete the Owner Section
Enter the project address, read and initial each statement, then sign and date the form.
3
Complete Agent Authorization
If designating an agent, complete the authorization section with the project, agent, and owner declaration information.
4
Return the Form
Return the signed form to the agency responsible for issuing the permit at the address shown on the form.

Frequently asked questions

Who completes the Property Owner-Builder Verification Form?: The property owner listed as the builder on a construction permit reads, initials, completes, signs, and returns the form. An agent can be authorized to apply for the permit.
Do I need a notary for the Property Owner-Builder Verification Form?: No. The form is signed without a notary, but when the permit is issued the agency requires a driver’s license copy, notarization, or other acceptable verification of the owner’s signature.
How do I submit the Property Owner-Builder Verification Form?: Return the completed and signed form to the agency responsible for issuing the permit at 26 Corte Madera Ave., Mill Valley, CA 94941, before the building permit is issued.
When is the agent authorization section needed?: The form says the authorization section is required only when the property owner designates an agent to apply for a construction permit for the Owner-Builder.

Need something notarized?

This Property Owner-Builder Verification Form doesn’t need a notary — but if you have another Mill Valley form that does, a commissioned online notary can help.