Lithonia, GA · DeKalb County
Authorized Permit Agent Form
This form lets a licensed residential or general contractor designate an individual to apply for and obtain permits for a specific project, and is filed with the city or county permit 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
A licensed contractor uses this form to authorize an individual to apply for and obtain permits on the contractor’s behalf for a project. The contractor must submit a separate form for each project and give it to the permit office in the city or county where the project is located. The form requests license details and project information, and calls for copies of the relevant contractor license and the agent’s driver’s license.
Who needs it
A licensed individual contractor or qualifying agent who wants another person to apply for and obtain permits for a project needs to complete and submit this form.
Why it needs a notary
The contractor, signing as an individual or qualifying agent, signs the sworn statement before a notary, who completes the subscribed-and-sworn jurat and signs.
How to get this notarized
- 1
Download the Form
Get the Authorized Permit Agent Form from the City of Lithonia.
- 2
Fill In the Details
Enter contractor, license, agent, and project information, and gather the requested license and driver’s license copies.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary and check with the city about accepting online notarization.
- 4
Sign on Video
Sign the sworn statement during the notary session and complete the required jurat.
- 5
Submit to the Permit Office
Give the completed form to the permit office in the city or county where the project is located.
Preview the form
The blank PDF straight from Lithonia. 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 submit the Authorized Permit Agent Form?
- Complete one form for each project, attach the requested license and agent ID copies, and give it to the permit office in the city or county where the project is located.
- Do I need to sign this form in front of a notary?
- Yes. The contractor, signing as an individual or qualifying agent, affirms under oath that the form and accompanying documents are true and correct, then signs before a notary.
- Can I use an online notary for this form?
- 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), but this form uses a sworn jurat. Ask the city whether it will accept online notarization; confirm with the city if unsure.
- Does the form go to the State Licensing Board?
- The form says to give it to the permit office in the city or county where the project is located. Do not send a copy to the Board office unless requested.
Authorized Permit Agent Form in other DeKalb County cities
Each city publishes its own version of this form. Pick the city where you’re filing.