Palm Bay, FL · Brevard County

Hold Harmless / Indemnification Agreement

Notarized hold-harmless affidavit releasing the City of Palm Bay from liability in connection with a permit action.

Simple form~5 min to notarize
  • Florida-licensed notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The City of Palm Bay requires this hold-harmless affidavit for certain permit actions, in which the property owner agrees to release and indemnify the City, its agents, and personnel from liability arising from the requested action. The owner's signature must be notarized.

Who needs it

Palm Bay property owners completing a permit action that requires a hold-harmless release.

Why it needs a notary

The City of Palm Bay requires the owner's signature on the hold-harmless affidavit to be notarized.

How to get this notarized

  1. 1

    Get the form

    Download the Hold Harmless / Indemnification Agreement from the City of Palm Bay building department.

  2. 2

    Fill it out

    Complete every required field — but do not sign yet. The notary must witness your signature.

  3. 3

    Have your ID ready

    Have a valid, government-issued photo ID (driver's license, state ID, or passport) on hand.

  4. 4

    Meet the online notary

    Connect with a Rush Notary Florida-commissioned online notary over secure video — no appointment or travel needed.

  5. 5

    Sign and get notarized

    Sign while the notary watches; they verify your identity and apply the notarial seal.

  6. 6

    Submit to the city

    Download your notarized Hold Harmless / Indemnification Agreement and submit it to the City of Palm Bay.

Preview the form

The blank PDF straight from Palm Bay. Look it over, then upload your filled copy to start the notary session.

Open in new tab
Info

You’ll need ID and a webcam.

A licensed Florida online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

Does this Palm Bay form need to be notarized?
Yes. The City of Palm Bay requires the signature on this form to be notarized before it will accept the application. Rush Notary handles the notarization online.
Can I notarize my Palm Bay Hold Harmless / Indemnification Agreement online?
Yes. Rush Notary connects you with a licensed Florida online notary over secure video — no appointment and no trip to an office. Most sessions take just a few minutes.
What do I need for an online notarization?
A valid government-issued photo ID, the completed (but unsigned) form, and a phone or computer with a camera. The notary verifies your identity, witnesses your signature, and applies the seal.

Ready to notarize your Hold Harmless / Indemnification Agreement?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.