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Authorized agent affidavit form 2026

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The document is an Authorized Agent Affidavit that grants permission for a designated agent to act on behalf of a contractor in dealings with the Hernando County Building Division, specifically for obtaining permits. It outlines the responsibilities and liabilities of both the contractor and the agent, including the need for notarized signatures. The affidavit must be kept by the agent and presented when signing permit documents.

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Click ‘Get Form’ to open the authorized agent affidavit in the editor.
Begin by filling in your name as the contractor in the first blank space. This identifies you as the individual granting authorization.
In the next blank, enter the name of your authorized agent who will act on your behalf. This is crucial for establishing their authority.
Review and complete the section that states your responsibilities and liabilities regarding the actions taken by your authorized agent.
Both you and your authorized agent must provide signatures in the designated areas. Ensure these are done in front of a notary public.
Fill out any required certification numbers, including state and county certifications, if applicable.
Finally, ensure that both signatures are notarized as indicated at the bottom of the form before submitting it to Hernando County.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (39 Votes)
2000	4.3 Satisfied (92 Votes)

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