Authorized Permit Agent Form PDF Details

In the realm of construction and development, efficiency and compliance with local regulations are paramount. A notable tool aiding in this regard is the Authorized Permit Agent Form, provided by the State Licensing Board for Residential and General Contractors. This form plays a crucial role by allowing licensed contractors to appoint an individual to secure the necessary permits for a specific project on their behalf. This appointment not only streamlines the permit acquisition process but also underscores the importance of adhering to legal prerequisites, ensuring projects progress without regulatory hitches. The procedure requires a licensed contractor to submit an Authorized Permit Agent Form for each project where a delegate is nominated to pull permits, a measure aimed at enhancing project-specific accountability and oversight. It is important to note that this form, along with the required attachments, such as a copy of the licensed individual or company, and the authorized permit agent’s driver’s license, must be presented to the relevant permit office located in the city or county of the project's site. Such meticulous documentation is designed to fortify the credibility and reliability of the representation in navigating the legal corridors of construction permit acquisition. Despite the form's straightforward directive to facilitate permit procurement through designated agents, it also subtly emphasizes the breadth of trust and responsibility bestowed upon the chosen individuals, thereby reflecting the contractor's confidence in their professionalism and understanding of the local regulatory landscape.

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

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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


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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.

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