Mount Vernon, NY · Westchester County

No notary required

Letter of Authorization Naming Applicant as Owner’s Agent

Property owners use this form to authorize an applicant to act as their agent for selected Mount Vernon Department of Buildings permit applications.

What this form is

This form identifies the property owner, the premises, and the person authorized to act as the owner’s agent and applicant. The owner selects the applicable permit application, such as building, equipment, demolition, plumbing, or electrical, and provides additional contractor details for plumbing or electrical work. The form is for use with the Department of Buildings applications listed on it.

Who needs it

A property owner authorizing another person to apply for one or more of the listed Department of Buildings permits needs this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Letter of Authorization Naming Applicant as Owner’s Agent.

  2. 2

    Complete The Form

    Enter the owner and premises information, identify the agent, and check the applicable permit application.

  3. 3

    Add Work Details

    For plumbing or electrical work, provide the licensed contractor and company information requested on the form.

  4. 4

    Submit To The City

    Submit the completed form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What does the Mount Vernon authorization form do?
It lets a property owner name an applicant as the owner’s agent for selected Department of Buildings permit applications at the listed premises.
Who can be named as the owner’s agent?
The form asks for the name, address, and phone number of the applicant or agent authorized by the property owner.
Do I need a notary for the Mount Vernon authorization form?
No. This document is signed without a notary; the signer just signs and dates it.
How do I submit the Mount Vernon authorization form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Letter of Authorization Naming Applicant as Owner’s Agent doesn’t need a notary — but if you have another Mount Vernon form that does, a commissioned online notary can help.