Legal Permit Signatures

LEGAL PERMIT SIGNATURES

This Permit Signature Agreement (the "Agreement") is entered into as of Date: by and between Owner Name: , Owner Entity Type: Individual Corporation LLC Partnership and Agent/Permit Applicant Name: , Agent Entity Type: Individual Corporation LLC Partnership.

RECITALS

WHEREAS, Owner is the legal owner of the real property located at (the "Property"); and

WHEREAS, Owner proposes to undertake the following work or project: and requires approvals, permits, inspections, and certifications from the permitting authority identified as ; and

WHEREAS, Owner desires to authorize Agent to submit permit applications, execute required documents, receive notices, and perform related acts on Owner's behalf as provided herein.

NOW, THEREFORE

In consideration of the mutual covenants and agreements set forth below, and other good and valuable consideration, the receipt and sufficiency of which are acknowledged, Owner and Agent agree as follows:

1. APPOINTMENT AND AUTHORITY

1.1 Appointment. Owner hereby appoints Agent as Owner's agent and attorney-in-fact, with full authority to prepare, submit, execute, amend, and prosecute permit applications and related documents necessary or incidental to the Project, including but not limited to: permit applications, plans, affidavits, disclosures, cost estimates, change orders, inspection consents, and statements of compliance. Such authority includes the right to receive administrative notices and to cure defects on behalf of Owner.

1.2 Scope. The Agent's authority is limited to matters related to the Project described in the Recitals and any work specifically identified in the permit application for Permit Number: and Permit Application Date: . The Agent shall not incur obligations on behalf of Owner that are beyond the scope of permit processing without Owner's prior written consent.

2. REPRESENTATIONS, WARRANTIES AND COVENANTS

2.1 Owner Representations. Owner represents and warrants that Owner is the record owner of the Property or holds sufficient legal authority to authorize the Agent to act as provided in this Agreement, and that all information, plans, specifications and statements provided to Agent or the permitting authority are true, complete and accurate to the best of Owner's knowledge.

2.2 Agent Representations. Agent represents and warrants that Agent is duly authorized to act as agent for permit processing and will act in good faith, exercise reasonable care, and comply with all applicable laws, codes, regulations and permit conditions in performing its duties.

3. APPLICATION, EXECUTION AND DELIVERY

3.1 Execution. Owner authorizes Agent to sign and execute, on Owner's behalf, all permit applications, consents, verifications and certifications required by the permitting authority necessary to obtain the permits described in this Agreement. Agent shall provide Owner with copies of executed documents upon request.

3.2 Filing and Fees. Agent is authorized to submit required filings and to pay fees on Owner's behalf if Owner has provided Agent written authorization and funds. Unless otherwise agreed in writing, Owner remains solely responsible for payment of all permit fees, application fees, and costs associated with the Project.

4. COMPLIANCE WITH LAW

Agent and Owner shall each perform their obligations under this Agreement in compliance with all applicable federal, state, and local laws, ordinances, building codes, regulations and permit conditions. Agent shall notify Owner promptly of any directed corrections or compliance actions required by a permitting authority.

5. INDEMNIFICATION

Owner shall defend, indemnify and hold harmless Agent, its officers, directors, employees and contractors from and against any and all claims, liabilities, losses, damages, costs and expenses (including reasonable attorneys' fees) arising out of or resulting from (a) Owner's breach of any representation, warranty or covenant contained in this Agreement, (b) inaccuracies in any information, plans or documents provided by Owner to Agent or any permitting authority, and (c) Owner's willful misconduct or negligence in connection with the Project.

Agent shall defend, indemnify and hold harmless Owner from claims arising from Agent's willful misconduct or gross negligence in performing services under this Agreement; provided that Owner provides prompt notice to Agent of any such claim and cooperates in the defense and settlement of the claim.

6. INSURANCE

Agent shall maintain at its expense commercial general liability insurance and, where applicable, professional liability insurance with limits customary for the type of services provided. Minimum coverage required: . Agent shall provide proof of insurance to Owner upon reasonable request.

7. TERM AND TERMINATION

This Agreement shall commence on the Effective Date and shall continue until completion of the permitting process for the Project or earlier termination by either party upon thirty (30) days' written notice; provided, however, that termination shall not relieve any party of obligations or liabilities incurred prior to termination. Any revocation of authority granted hereunder shall be effective only upon written notice to the permitting authority where required by applicable rules and regulations.

8. NOTICES

Notices shall be in writing and deemed given when delivered in person, sent by certified mail with return receipt requested, or sent by nationally recognized overnight courier, to the addresses set forth above or to such other address as either party may designate by written notice.

9. AMENDMENTS; WAIVER

This Agreement may be amended or modified only by a written instrument executed by both parties. No waiver of any provision or breach shall be effective unless in writing and signed by the party granting the waiver, and no single waiver shall be deemed a continuing waiver or a waiver of any other provision.

10. GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the state where the Property is located, without regard to its conflicts of law principles.

11. ENTIRE AGREEMENT

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written.

12. SEVERABILITY

If any provision of this Agreement is held to be invalid, illegal or unenforceable by a court of competent jurisdiction, the remaining provisions shall continue in full force and effect to the fullest extent permitted by law.

13. COUNTERPARTS

This Agreement may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument. Signatures transmitted by electronic means shall be deemed originals for all purposes.

CERTIFICATION

Each signer certifies that he or she is authorized to execute this Agreement on behalf of the party for which he or she signs and that the statements contained herein are true, correct and complete to the best of the signer's knowledge.

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