Authorized Permit Agent Form PDF Details

In this blog post I will be going over the steps to get an authorized permit agent form from the Department of Alcoholic Beverage Control. The process is not very difficult, but there are a few steps involved so it's important to follow them in order. The first step is to fill out a request for application and submit it with your payment of $400. Make sure you include all pertinent information including your business name and address, as well as a home address where they can reach you at during regular business hours if necessary.

In the table, there's some information in regards to the authorized permit agent form. You might want to learn its size, the typical time needed to fill out the form, the blanks you'll have to fill in, and so on.

Form NameAuthorized Permit Agent Form
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other namesgeorgia state authorized permit agent form, permit agent georgia, georgia authorized agent, ga authorized

Form Preview Example

State Licensing Board for

Residential and General Contractors

The Authorized Permit Agent form may be used by a licensed contractor to designate an individual to obtain permit(s) on his/her behalf for a project(s). The contractor should submit an Authorized Permit Agent Form for each project that he/she designates an individual to pull permits for. The form is to be given to the permit office in the city or county in which the project is located. Do not send a copy of this form to the Board office unless you are requested to do so.

237 Coliseum Drive Macon, Georgia 31217 (478) 207-2440

State Licensing Board for

Residential and General Contractors

Authorized Permit Agent Form

License verification by permitting office should be completed by visiting

Licensed Contractor: _____Individual_____Qualifying Agent

Name of licensed person ________________________________________________________

*Please attach a copy of Individual license or Company License (Reflects company and qualifying agent license number)

License number of individual or qualifying agent: ______________________________

Name of licensed company(if applicable)__________________________

License number of company(if applicable):________________________________________

I, ______________________________________________, hereby designate

Licensed Individual or Qualifying Agent

________________________________________________ to apply for and obtain the permit(s) for the

*Please attach a copy of the authorized permit agent’s driver’s license.

project at:


Street address


Apartment or Suite Number



Zip Code

I, the undersigned, being the contractor as either an individual or a qualifying agent, do hereby affirm and swear, under oath, that all information on this form and on accompanying documents are true and correct.

Signature of individual or qualifying agent _________________________________________________

State of ______________________________ County of ____________________________________

Subscribed and sworn to before me this _______ day of ________________20__


Signature of Notary Public______________________________


237 Coliseum Drive Macon, Georgia 31217 (478) 207-2440


How to Edit Authorized Permit Agent Form Online for Free

We have applied the efforts of the best software engineers to make the PDF editor you can benefit from. The app will let you fill out the permit agent form document effortlessly and don’t waste time. Everything you need to undertake is adhere to the following simple instructions.

Step 1: The initial step would be to choose the orange "Get Form Now" button.

Step 2: You can now modify the permit agent form. You need to use the multifunctional toolbar to add, delete, and change the text of the document.

Complete the permit agent form PDF by entering the content needed for every single section.

authorized agent permit form fields to fill out

Write down the essential details in Street address, Apartment or Suite Number, City, Zip Code, I the undersigned being the, Signature of individual or, State of County of, Subscribed and sworn to before me, Signature of Notary Public, Seal, and Coliseum Drive Macon Georgia area.

Completing authorized agent permit form stage 2

Step 3: Choose the "Done" button. Now you may upload the PDF form to your electronic device. As well as that, you may send it through electronic mail.

Step 4: Generate copies of the file - it can help you stay away from potential future difficulties. And don't be concerned - we are not meant to disclose or check the information you have.

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