Homeowner/Builder Affidavit

Homeowners complete this affidavit to confirm they are acting as their own general contractor and will use the permitted property for their personal family.

What this form is

The affidavit lets a homeowner confirm they are acting as their own general contractor and that the permit is for their personal family’s occupancy or use. For residences, it asks the signer to confirm they intend to live in the completed structure and understand the stated restriction on building another residence as a homeowner-builder. It requests the signer’s name, property location, signature, and date.

Who needs it

A homeowner seeking a permit for a property they intend to use for their personal family completes this affidavit.

How to submit it

Submit it to the Planning & Development Department at 100 US Hwy 80 SW, Pooler, Georgia 31322; the form also lists [email protected].

About notarization

This document is signed without a notary; the signer just signs and dates the affidavit.

How to submit this form

1
Download The Affidavit
Download the Homeowner/Builder Affidavit PDF.
2
Complete The Affidavit
Enter your name and the property location, then review the statements about personal use and residence occupancy.
3
Sign And Date
Print your name, sign the affidavit, and enter the date.
4
Submit To The Department
Submit the completed affidavit to the Planning & Development Department at the address listed on the form.

Frequently asked questions

What does the Homeowner/Builder Affidavit confirm?: It confirms that the homeowner is acting as their own general contractor and that the permit is for occupancy or use by their personal family.
Do I need a notary for the Homeowner/Builder Affidavit?: No. This document is signed without a notary; the signer just signs and dates the affidavit.
How do I submit the Homeowner/Builder Affidavit?: Submit it to the Planning & Development Department at 100 US Hwy 80 SW, Pooler, Georgia 31322. The form also lists an email address.

Need something notarized?

This Homeowner/Builder Affidavit doesn’t need a notary — but if you have another Pooler form that does, a commissioned online notary can help.