Contractor's authorized agent, signature form - Palm Beach County 2026

1. Click ‘Get Form’ to open the Contractor's authorized agent, signature form in the editor.
2. Begin by entering the Qualifier's printed name in the designated field at the top of the form.
3. Fill in the Company Name and License Number accurately to ensure proper identification.
4. Provide the Company Address, including City, State, and Zip Code. Remember, no PO Boxes are allowed.
5. Enter a valid phone number and fax number for contact purposes.
6. Input an email address for further communication regarding permits and inspections.
7. In the authorization section, print your name and business name clearly before designating your agent’s name, cell phone, and email.
8. Sign as the Qualifier and have your appointed agent sign as well to validate the authorization.
9. Complete any notary requirements by having a notary public witness both signatures and provide their seal.

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