Victorville, CA · San Bernardino County

No notary required

Permittee Authorization Form Property Owner Declaration

This form records a property owner’s or authorized applicant’s declarations for a Victorville construction permit, including owner-builder status and agreement to permit inspections.

What this form is

The form collects an owner-builder declaration and a construction permit applicant’s certification for a Victorville permit. The signer indicates the basis for any claimed exemption from contractor licensing, confirms authority to act for the owner and accuracy of the application, agrees to follow applicable requirements, and authorizes city representatives to enter the property for inspections.

Who needs it

Property owners or authorized construction permit applicants complete the applicable declarations for a Victorville construction permit.

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 property owner or authorized applicant signs and dates the applicable declaration, and no notarized attachment is specified.

How to submit this form

  1. 1

    Download The Form

    Download the Permittee Authorization Form Property Owner Declaration PDF.

  2. 2

    Complete The Applicable Declaration

    Enter the permit number and site address, then complete the declaration that applies to you.

  3. 3

    Gather Separate Authorization

    If acting as a representative of the property owner, provide a separate authorization form.

  4. 4

    Sign And Submit

    Sign and date the applicable declaration, then submit it to the city department named on the form.

Frequently asked questions

What does the Permittee Authorization Form declare?
It records an owner-builder declaration and a construction permit applicant’s certification, including authority to act for the owner and permission for city inspection access.
Who completes this Victorville form?
A property owner or someone authorized to act on the property owner’s behalf completes the applicable declaration. Representatives of the property owner must provide a separate authorization form.
Do I need a notary for the Permittee Authorization Form?
No. The document is signed without a notary; the applicable signer signs and dates the declaration. It specifies a separate authorization form for representatives, but does not say that form must be notarized.
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 Victorville form that does, a commissioned online notary can help.