Benicia, CA · Solano County

No notary required

Letter of Authorized Agent Form (Owner-Builder Application)

Property owners use this form to authorize agents to apply for, sign, and file documents for an Owner-Builder Permit.

What this form is

This form lets a property owner authorize named agents to apply for, sign, and file documents needed for an Owner-Builder Permit. The city requires it with every permit application. It asks for project details, agent contact information, and the owner's signature, date, address, phone, and email. The owner must provide a driver's-license copy, notarized form, or other verification acceptable to the city.

Who needs it

A property owner seeking an Owner-Builder Permit must complete this form and provide verification of the owner's signature.

How to submit it

Submit this form with every permit application. The form lists City Hall, 250 East L Street, Benicia, CA 94510, and [email protected] for contact.

About notarization

This form is signed and dated without a notary; the owner must also provide a driver's-license copy, notarized form, or other verification acceptable to the city.

How to submit this form

  1. 1

    Download The Form

    Download the Letter of Authorized Agent Form for an Owner-Builder Permit.

  2. 2

    Complete The Form

    Enter the project details and authorized agent information, then provide the owner's contact details and signature.

  3. 3

    Gather Signature Verification

    Provide a copy of the owner's driver's license, a notarized form, or other verification acceptable to the city.

  4. 4

    Submit With The Permit Application

    Submit the completed form with every permit application.

Frequently asked questions

What does the Letter of Authorized Agent Form do?
It authorizes named agents to apply for, sign, and file documents needed to obtain an Owner-Builder Permit for the owner's project.
Who completes this form?
The property owner provides the project and agent information, declares they are the property owner, and signs and dates the form.
Do I need a notary for the Letter of Authorized Agent Form?
No. The form is signed and dated without a notary, but signature verification is required. The owner may provide a driver's-license copy, a notarized form, or other verification acceptable to the city.
How do I submit the Letter of Authorized Agent Form?
Submit it with every permit application. The form lists City Hall at 250 East L Street, Benicia, CA 94510, and [email protected] for contact.

Need something notarized?

This Letter of Authorized Agent Form (Owner-Builder Application) doesn’t need a notary — but if you have another Benicia form that does, a commissioned online notary can help.