Rome, GA · Floyd 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 specified project.
- 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 records the licensed contractor’s designation of an individual or qualifying agent to apply for and obtain permits for a project at a listed address. The contractor or qualifying agent completes the license and project details, attaches the requested license and driver’s-license copies, and swears that the information on the form and accompanying documents is true and correct. Submit it to the permitting office with the permit application.
Who needs it
A licensed contractor applying for permits through a designated individual or qualifying agent for a project at a specified address needs this form.
Why it needs a notary
The contractor or qualifying agent signs the sworn statement under oath before a notary, who completes the “Subscribed and sworn to before me” block.
How to get this notarized
- 1
Download the Form
Get the Authorized Permit Agent Form from the provided government source.
- 2
Fill In the Details
Complete the contractor, agent, license, and project-address fields, and gather the requested license and driver’s-license copies.
- 3
Book an Online Notary
Arrange an online notarization and check with the permitting office if you are unsure whether it accepts remote notarization.
- 4
Sign on Video
Sign the sworn statement during the online notary session, following the notary’s instructions.
- 5
Submit to the City
Send the completed form and attachments to the permitting office with the permit application.
Preview the form
The blank PDF straight from Rome. 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 complete the Authorized Permit Agent Form?
- Enter the contractor and agent details, license numbers, and project address. Attach the requested license and driver’s-license copies, then sign the sworn statement before a notary.
- Do I need to sign this form before a notary?
- Yes. The form includes a “Subscribed and sworn to before me” block. The contractor or qualifying agent signs the statement under oath, and the notary completes the notarial section.
- Can I use a commissioned online notary?
- 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); confirm with the city if unsure whether it accepts this remotely notarized sworn form.
- What attachments does the form request?
- The form requests a copy of the individual or company license and a copy of the authorized permit agent’s driver’s license.
Authorized Permit Agent Form in other Georgia cities
Each city publishes its own version of this form. Pick the city where you’re filing.