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Building - Permit Authorization Request

  1. Please be advised this form is for customer use only. Building Services will not track, monitor or receive a copy of this request. Enter a valid email below to receive a copy for your processing.

  2. to pick up permits and sign any documents related to:

  3. Please choose one of the following:

  4. Qualifiers Signature_______________________________________________

  5. The forgoing authorization letter was acknowledged before me this ___________ day of ________, 20____by____________________________


    ___who is personally known to me
    ___who has produced identification_________________________________________


    Notary Public Signature:______________________________________

    My Commission Expires ______________________________________

  6. Email completed forms to planning2@sumtercountyfl.gov

  7. Please be advised this form is for customer use only. Building Services will not track, monitor or receive a copy of this request. Enter a valid email below to receive a copy for your processing.

  8. Leave This Blank:

  9. This field is not part of the form submission.