Adelanto, CA · San Bernardino County
Permittee Authorization Form – Property Owner Declaration
Property owners or authorized permit applicants complete this form to provide owner-builder and construction permit declarations for a building project.
What this form is
This form records a property owner's owner-builder declaration and a construction permit applicant's certification. It asks for the permit number, site address, names, dates, and declarations about the work, contractor licensing, and authority to act for the owner. The form refers to submitting the applicable law with the application and describes conditions under which the permit becomes void.
Who needs it
Property owners or authorized construction permit applicants use this form to make the declarations requested for a building project.
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 and dated without a notary; it contains owner and applicant declarations but identifies no notarized attachment or related step.
How to submit this form
- 1
Download the Form
Download the Permittee Authorization Form PDF.
- 2
Complete the Declarations
Enter the permit number, site address, names, and dates, and complete the applicable owner and applicant declarations.
- 3
Check Related Information
The form refers to the applicable law and to a separate authorization form for representatives of the property owner.
- 4
Submit to the City
Submit the completed form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Permittee Authorization Form for?
- It records an owner's owner-builder declaration and a construction permit applicant's certification for a building project.
- Who completes this form?
- The form is for the property owner or an authorized applicant acting on the property owner's behalf.
- Do I need a notary for the Permittee Authorization Form?
- No. The form is signed and dated without a notary and identifies no notarized attachment or related step.
- How do I submit the Permittee Authorization Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Permittee Authorization Form – Property Owner Declaration doesn’t need a notary — but if you have another Adelanto form that does, a commissioned online notary can help.