Gilroy, CA · Santa Clara County

No notary required

Owner-Builder Information & Acknowledgment Form

Property owners seeking a building permit as the responsible owner-builder complete this form to acknowledge the responsibilities and risks involved.

What this form is

Gilroy requires this form before issuing a building permit when the property owner is listed as the responsible owner-builder. The owner reads and initials each statement, confirms responsibility for the proposed construction, and provides the project address, permit number, signature, and date. It explains potential risks and obligations associated with acting as an owner-builder.

Who needs it

Property owners named as responsible owner-builders on a Gilroy building permit application must complete and return this form before permit issuance.

How to submit it

Return the completed form to the City of Gilroy Building Division at 7351 Rosanna Street, Gilroy, CA 95020. The form lists phone 408-846-0451 and fax 408-846-0429.

About notarization

This document is signed without a notary; it says form notarization is one possible verification option when the permit is issued, alongside a driver’s license or other agency-accepted verification.

How to submit this form

  1. 1

    Download The Form

    Download the Owner-Builder Information & Acknowledgment Form.

  2. 2

    Complete The Form

    Read and initial each statement, then provide the project address, permit number, signature, and date.

  3. 3

    Gather Verification

    The form says a driver’s license, form notarization, or other agency-accepted verification is required when the permit is issued.

  4. 4

    Return It To The City

    Return the completed form to the City of Gilroy Building Division at 7351 Rosanna Street, Gilroy, CA 95020.

Frequently asked questions

Do I need a notary for the Owner-Builder Acknowledgment Form?
No. The form is signed without a notary. At permit issuance, it lists form notarization as one possible signature verification option, alongside a driver’s license or other agency-accepted verification.
Who must complete this owner-builder form?
The property owner named as the responsible owner-builder on a building permit application must read and initial the statements, then sign and return the form before the permit is issued.
How do I submit the Owner-Builder Acknowledgment Form?
Return it to the City of Gilroy Building Division at 7351 Rosanna Street, Gilroy, CA 95020. The form also lists a phone number and fax number.

Need something notarized?

This Owner-Builder Information & Acknowledgment Form doesn’t need a notary — but if you have another Gilroy form that does, a commissioned online notary can help.