Elk Grove, CA · Sacramento County

No notary required

Owner-Builder Notice and Acknowledgement Form

Property owners named as builders on a building permit complete this form to acknowledge their responsibilities before the city issues the permit.

What this form is

This form explains the responsibilities and potential risks of obtaining a building permit as an owner-builder. Before the permit can be issued, the property owner must read and initial the statements, sign and return the form. It also includes an agent authorization section for owners designating someone to apply for an owner-builder permit on their behalf.

Who needs it

Property owners applying for a construction permit in their own names as owner-builders must complete and return this form before the permit is issued.

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 document is signed without a notary; the agent authorization may require a driver’s-license copy, notarization, or other acceptable signature verification when the permit is issued.

How to submit this form

  1. 1

    Download The Form

    Download the Owner-Builder Notice and Acknowledgement Form.

  2. 2

    Read And Complete The Form

    Read and initial each statement, provide the requested property information, and sign and date the form.

  3. 3

    Gather Any Verification

    If designating an agent, prepare a driver’s-license copy, notarization, or other signature verification acceptable to the agency for permit issuance.

  4. 4

    Return The Form

    Return the completed form to the agency responsible for issuing the permit at its official address.

Frequently asked questions

Do I need a notary for the Owner-Builder Notice and Acknowledgement Form?
No. The form is signed without a notary. For agent authorization, the city requires a driver’s-license copy, notarization, or other acceptable signature verification when the permit is issued.
Who completes the Owner-Builder Notice and Acknowledgement Form?
The property owner named as the builder on a construction permit must read and initial the statements, sign the form, and return it before the permit is issued.
How do I submit the Owner-Builder Notice and Acknowledgement Form?
Return the completed form to the agency responsible for issuing the permit at its official address. Check the city website for current contact details.

Need something notarized?

This Owner-Builder Notice and Acknowledgement Form doesn’t need a notary — but if you have another Elk Grove form that does, a commissioned online notary can help.