Victorville, CA · San Bernardino County
Authorization of Agent to Act on Behalf of the Licensed Contractor
This form lets a licensed contractor authorize an agent to apply for, sign, and file documents needed to obtain a permit for a project.
What this form is
This letter authorizes named agent(s) to apply for, sign, and file documents needed to obtain a permit for a listed project. The licensed contractor provides project, license, contact, and agent details, then declares the information accurate under penalty of perjury and signs and dates the form. When the permit is issued, the contractor’s signature must be verified by an accepted method.
Who needs it
A licensed contractor who wants an agent to handle permit documents for a specific project should complete and sign this form.
How to submit it
Send it to the Building Department, City of Victorville, 14343 Civic Drive, PO Box 5001, Victorville, CA 92393-5001, or email [email protected].
About notarization
This form is signed and dated without a notary; when the permit is issued, present the contractor’s driver’s-license copy, notarization of the form, or other accepted signature verification.
How to submit this form
- 1
Download The Form
Download the Authorization of Agent to Act on Behalf of the Licensed Contractor form.
- 2
Complete The Form
Enter the project, licensed contractor, and authorized agent information; then sign and date the form.
- 3
Gather Verification
When the permit is issued, present a contractor’s driver’s-license copy, notarization of the form, or other verification acceptable to the Building Division.
- 4
Submit To The City
Send the form to the Building Department at the listed Victorville address or email [email protected].
Frequently asked questions
- What does the contractor agent authorization form do?
- It authorizes named agent(s) to apply for, sign, and file documents needed to obtain a permit for the project listed on the form.
- Who completes this form?
- The licensed contractor provides the project, license, contact, and agent information and declares the information accurate under penalty of perjury.
- Do I need a notary for this form?
- No. The form has no notary block and is signed and dated without a notary. When the permit is issued, the contractor’s signature must be verified by a driver’s-license copy, notarization of the form, or other accepted verification.
- How do I submit the contractor agent authorization form?
- Send it to the Building Department at 14343 Civic Drive, PO Box 5001, Victorville, CA 92393-5001, or email [email protected].