Statham, GA · Barrow County
Authorized Permit Agent Form
This form lets a licensed contractor designate an individual or qualifying agent to apply for and obtain permits for a project, and is submitted to the permitting office.
- licensed online 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 form identifies the licensed contractor, the designated permit agent, and the project address. The contractor, signing as an individual or qualifying agent, swears that the form and accompanying documents are true and correct. The form directs applicants to attach license documentation and a copy of the agent’s driver’s license; submit it when designating an agent to apply for and obtain project permits.
Who needs it
A licensed contractor who wants an individual or qualifying agent to apply for and obtain permits for a project needs to complete and submit this form.
Why it needs a notary
The form contains a subscribed-and-sworn jurat; the contractor signing as an individual or qualifying agent must swear to the information before the notary.
How to get this notarized
- 1
Download the Form
Get the Authorized Permit Agent Form from the city’s building department.
- 2
Fill In the Form
Enter the contractor, license, designated agent, and project details, and gather the requested license and driver’s license copies.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary and have your identification and completed form ready.
- 4
Swear and Sign on Video
Take the oath and sign the form during the online notarization session.
- 5
Submit to the Permitting Office
Send the notarized form and required attachments to the permitting office.
Preview the form
The blank PDF straight from Statham. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed 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
- How do I notarize the Authorized Permit Agent Form online?
- Complete the form and gather the required license and driver’s license copies. Book with a commissioned online notary, take the oath and sign during the video session, then submit the notarized form and attachments to the permitting office.
- Do I need to sign the form in front of a notary?
- Yes. The contractor signing as an individual or qualifying agent must swear that the form and accompanying documents are true and correct before the notary.
- Can a commissioned online notary notarize this form for use in Georgia?
- Georgia has no remote online notarization statute of its own. Georgia law recognizes acknowledgments taken by notaries of other states (O.C.G.A. §44-2-21); because this form requires an oath, confirm acceptance with the permitting office before proceeding.
- What documents should accompany the form?
- The form asks for a copy of the individual or company license, as applicable, and a copy of the authorized permit agent’s driver’s license. Confirm with the city if unsure about submission requirements.
Authorized Permit Agent Form in other Barrow County cities
Each city publishes its own version of this form. Pick the city where you’re filing.