Construction Permit Authorization Form

Construction Permit Authorization Form

This Construction Permit Authorization is made between Owner Name: whose address is (hereinafter "Owner"), and Authorized Agent/Contractor Name: License/Registration No.: whose principal place of business is (hereinafter "Authorized Agent"). This Authorization is effective as of .

RECITALS

WHEREAS, Owner is the record owner of the real property located at , identified by parcel or assessor's number (the "Property");

WHEREAS, Owner desires to obtain construction permits, approvals, and inspections necessary for the Project described below, and to authorize a licensed contractor or authorized agent to act on Owner's behalf in connection with such permits and related administrative actions;

WHEREAS, Authorized Agent is duly qualified, licensed and able to represent Owner in permit application processes and to coordinate with municipal or other permitting authorities.

NOW, THEREFORE, in consideration of the mutual covenants contained herein and other good and valuable consideration, the parties agree as follows.

1. AUTHORIZATION

Owner hereby appoints and designates Authorized Agent as Owner's true and lawful agent to prepare, execute, file, amend, and submit all applications, plans, drawings, supporting documentation, and fees required to obtain construction permits for the Project at the Property. Authorized Agent is authorized to sign all permit application forms, represent Owner at administrative hearings, inspections and meetings with permitting authorities, receive and pick up permits, certificates and related documents, and to take any other actions reasonably necessary to secure permits and approvals. This grant of authority includes the ability to sign ministerial documents and acknowledgements, but does not permit Authorized Agent to convey any interest in the Property.

2. SCOPE OF AUTHORITY

The specific categories of permits and actions authorized are checked below. Authorized Agent's authority is limited to those items checked unless otherwise agreed in writing.

Building Permit Electrical Permit Mechanical Permit Plumbing Permit Demolition Permit Grading Permit

Other:

3. PROJECT DESCRIPTION

4. TERM; EFFECTIVE DATES

This Authorization commences on the effective date set forth above and shall continue in full force and effect until the earlier of: (a) completion of the Project and final issuance of all required certificates of occupancy or equivalent final approvals; (b) revocation in writing by Owner; or (c) . Any revocation shall not impair actions taken by Authorized Agent prior to the date of revocation if such actions were taken in good faith pursuant to this Authorization.

5. FEES; PAYMENT

Owner shall be responsible for payment of all permit fees, plan check fees, inspection fees, impact fees and similar charges imposed by permitting authorities unless otherwise agreed in writing. Authorized Agent may submit and pay fees on behalf of Owner and shall provide receipts and documentation to Owner. If Authorized Agent advances funds for fees, Owner shall promptly reimburse Authorized Agent upon demand.

6. REPRESENTATIONS AND WARRANTIES

Each party represents and warrants to the other that it has the full right, power, and authority to enter into and perform its obligations under this Authorization and that no other consents or approvals are required to make this Authorization valid and binding, except as expressly disclosed in writing.

7. INDEMNIFICATION

To the fullest extent permitted by law, Owner shall indemnify, defend and hold Authorized Agent harmless from and against any and all claims, losses, liabilities, damages, costs and expenses (including reasonable attorneys' fees) arising out of or related to the Project, except to the extent caused by the gross negligence or willful misconduct of Authorized Agent. Authorized Agent shall promptly notify Owner of any claim for which indemnity is sought and shall cooperate in the defense at Owner's expense.

8. INSURANCE

Authorized Agent shall maintain in force, at its expense, commercial general liability insurance and, where applicable, workers' compensation and employer's liability insurance, with limits customary and appropriate for the scope of the Project. Policy information and insurer name shall be provided to Owner upon request. Insurance shall be primary and non-contributing to any coverages maintained by Owner.

9. COMPLIANCE WITH LAWS

Authorized Agent shall ensure that all permit applications, plans and construction activities comply with applicable federal, state and local laws, codes, ordinances, regulations and standards. Nothing in this Authorization shall be construed to permit any action that would violate applicable legal requirements.

10. NOTICES

All notices and communications required or permitted under this Authorization shall be in writing and delivered personally or sent by certified mail, return receipt requested, or by a nationally recognized courier, to the addresses set forth below or to such other address as either party may designate by written notice to the other party.

11. AMENDMENTS; WAIVER; COUNTERPARTS

This Authorization may be amended only by a written instrument executed by both parties. Failure to insist upon strict performance of any provision shall not be deemed a waiver of any right. This Authorization may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

12. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Authorization shall be governed by and construed in accordance with the laws of the state in which the Property is located. This Authorization constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings. If any provision of this Authorization is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

13. MISCELLANEOUS PROVISIONS

Owner authorizes Authorized Agent to request clarifications, make ministerial revisions to permit documents, and to pay non-substantive processing fees as necessary to effectuate timely permit issuance. Any major changes to scope or design shall require Owner's prior written approval.

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