What does the Authorization to Act as Agent form do?

It lets a property owner or contractor authorize a named person to obtain necessary permits for work described on the form at a specified property.

Who completes this form?

The property owner or contractor provides the property address and project description, names the authorized agent, and signs and prints their name.

Do I need a notary for the Authorization to Act as Agent form?

No. The form has no notary block or notarized attachment; the property owner or contractor just signs and dates it.

How do I submit the Authorization to Act as Agent form?

Submit it to the City of Gilroy Building Life & Environmental Safety Division at 7351 Rosanna Street, Gilroy, CA 95020.

Gilroy, CA · Santa Clara County

No notary required

Authorization to Act as Agent

Property owners or contractors use this form to authorize another person to obtain necessary city permits for work at a specified property.

What this form is

This form authorizes a named person to act as an agent and obtain necessary permits for work at a property in Gilroy. The property owner or contractor identifies the property address and project, then signs and prints their name to confirm the authorization and related agreement to defend and hold the city harmless.

Who needs it

A property owner or contractor who wants another person to obtain necessary permits for described work at a Gilroy property needs this form.

How to submit it

Submit it to the City of Gilroy Building Life & Environmental Safety Division, 7351 Rosanna Street, Gilroy, CA 95020.

About notarization

This document is signed and dated without a notary; the form lists no notarized attachment or sworn step, so the property owner or contractor just signs and dates it.

How to submit this form

1
Download The Form
Download the Authorization to Act as Agent form.
2
Complete The Form
Enter the date, permit number, property address, project description, and authorized agent's name.
3
Sign And Date
The property owner or contractor signs and prints their name.
4
Submit To The City
Submit the completed form to the Building Life & Environmental Safety Division at 7351 Rosanna Street, Gilroy, CA 95020.

Frequently asked questions

What does the Authorization to Act as Agent form do?: It lets a property owner or contractor authorize a named person to obtain necessary permits for work described on the form at a specified property.
Who completes this form?: The property owner or contractor provides the property address and project description, names the authorized agent, and signs and prints their name.
Do I need a notary for the Authorization to Act as Agent form?: No. The form has no notary block or notarized attachment; the property owner or contractor just signs and dates it.
How do I submit the Authorization to Act as Agent form?: Submit it to the City of Gilroy Building Life & Environmental Safety Division at 7351 Rosanna Street, Gilroy, CA 95020.

Need something notarized?

This Authorization to Act as Agent doesn’t need a notary — but if you have another Gilroy form that does, a commissioned online notary can help.