Richmond, VA · City of Richmond
Building Permit – Owner Statement
Property owners or lessees use this statement to affirm their contractor-licensing status and accept responsibility for proposed building work.
What this form is
This statement accompanies building permit paperwork and asks the property owner or lessee to affirm that they are not subject to contractor or subcontractor licensure. The signer chooses an applicable exemption and must submit PDF proof for that choice. The statement also says the signer assumes responsibility for completing the work under applicable building codes and law.
Who needs it
A property owner or lessee applying for a building permit who affirms they are not subject to contractor or subcontractor licensure needs this statement.
How to submit it
The form identifies the Department of Planning & Development Review, Bureau of Permits and Inspections, at 900 East Broad Street, Room 108, Richmond, Virginia 23219. Submit the completed statement with the required proof document or documents in PDF format.
About notarization
This document is signed without a notary; the owner or lessee signs and dates the statement and submits proof for the selected exemption.
How to submit this form
- 1
Download The Statement
Download the Building Permit – Owner Statement PDF.
- 2
Complete The Form
Enter the owner's name, property address, daytime phone number, and email address; choose one listed exemption.
- 3
Gather Proof
Prepare PDF document(s) that provide proof for the exemption you selected.
- 4
Sign And Submit
Sign and date the statement, then submit it with the proof to the Bureau of Permits and Inspections at the address on the form.
Frequently asked questions
- Who completes the Building Permit – Owner Statement?
- The property owner or lessee completes the statement, providing contact details and affirming they are not subject to contractor or subcontractor licensure.
- What proof must I attach?
- Choose one of the listed exemptions and submit proof for the selected item in one or more PDF documents.
- How do I submit the Building Permit – Owner Statement?
- Submit the signed statement and required PDF proof to the Department of Planning & Development Review, Bureau of Permits and Inspections, at 900 East Broad Street, Room 108, Richmond.
- Do I need a notary for the Building Permit – Owner Statement?
- No. The document has no notary block; the owner or lessee signs and dates it and submits proof for the selected exemption.
Need something notarized?
This Building Permit – Owner Statement doesn’t need a notary — but if you have another Richmond form that does, a commissioned online notary can help.