Milpitas, CA · Santa Clara County

No notary required

Owner-Builder Acknowledgment

Property owners applying for a building permit as owner-builders complete this form to acknowledge their responsibilities and verify project information.

What this form is

Milpitas requires the property owner to complete and return this acknowledgment before it issues an owner-builder building permit. The form asks the owner to verify information, initial statements about owner-builder responsibilities, identify the project address, and sign and date the acknowledgment. It also includes a section authorizing an agent to act for the owner, excluding the Notice to Property Owner.

Who needs it

Property owners seeking a building permit in their own name as owner-builders need to complete and return this form before permit issuance.

How to submit it

Return the completed and signed form to the agency responsible for issuing the permit, at the official address indicated: Office of Building Safety, 455 E. Calaveras Blvd, Milpitas, CA 95035.

About notarization

This form has no notary block and is signed without a notary; at permit issuance, present a driver’s license copy, form notarization, or other verification acceptable to the agency.

How to submit this form

  1. 1

    Download The Form

    Download the Owner-Builder Acknowledgment for your building permit application.

  2. 2

    Complete The Form

    Enter the permit and project information, read and initial each statement, then sign and date the form.

  3. 3

    Gather Verification

    Prepare a driver’s license copy or other verification acceptable to the agency to present when the permit is issued.

  4. 4

    Return The Form

    Return the completed and signed form to the agency responsible for issuing the permit at the official address indicated.

Frequently asked questions

What is the Owner-Builder Acknowledgment for?
It records the property owner’s acknowledgment of owner-builder responsibilities and verifies information for a building permit application submitted in the owner’s name.
Who completes this form?
The property owner completes and signs the acknowledgment. An agent may not execute the Notice to Property Owner unless the permitting authority approves it in advance.
Do I need a notary for the Owner-Builder Acknowledgment?
No notary block is provided, and the form is signed without a notary. At permit issuance, the agency requires a driver’s license copy, form notarization, or other acceptable verification.
How do I submit the Owner-Builder Acknowledgment?
Return the completed and signed form to the agency responsible for issuing the permit at the official address indicated: Office of Building Safety, 455 E. Calaveras Blvd, Milpitas, CA 95035.

Need something notarized?

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