Lake Charles, LA · Calcasieu Parish

Affidavit Claiming Exemption From Licensure

This affidavit lets a homeowner applying for a building permit attest to understanding the responsibilities and risks of acting as an owner-builder under the stated licensure exemption.

Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

Homeowners use this affidavit when applying for a building permit under the exemption from contractor licensure described on the form. It records the homeowner’s acknowledgments about project responsibility, supervision, insurance risks, and applicable requirements, and identifies the property where construction will take place. The form states that the homeowner must maintain the house as a primary residence after the certificate of occupancy or completion of construction.

Who needs it

A homeowner seeking a building permit under the stated licensure exemption for construction, repair, improvement, or maintenance of a home or accessory building needs this affidavit.

Why it needs a notary

The form ends with a sworn-to-and-subscribed-before-me jurat; the homeowner signs and swears to the affidavit before the notary.

How to get this notarized

  1. 1

    Download the Affidavit

    Get the Affidavit Claiming Exemption From Licensure from the City of Lake Charles form page.

  2. 2

    Fill In the Form

    Enter the permitting jurisdiction and property address, then initial each statement and complete the homeowner details.

  3. 3

    Book an Online Notary

    Schedule an online notarization for the homeowner who must swear to the affidavit.

  4. 4

    Sign on Video

    Meet with the commissioned online notary and sign and swear to the affidavit during the session.

  5. 5

    Submit to the City

    Submit the completed affidavit with your building permit application to the appropriate permitting office.

Preview the form

The blank PDF straight from Lake Charles. Look it over, then upload your filled copy to start the notary session.

Open in new tab
Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I complete this licensure exemption affidavit?
Enter the permitting jurisdiction and property address, initial each statement, and complete the homeowner information. Sign and swear to the affidavit before a commissioned online notary, then submit it with your permit application.
Do I need to sign this affidavit in front of a notary?
Yes. The form ends with a sworn-to-and-subscribed-before-me jurat, so the homeowner must sign and swear to the affidavit before a notary.
Can I use an online notary for this affidavit?
Rush Notary connects you with a commissioned online notary. Louisiana gives a notarial act performed by a duly commissioned notary of another state the same force and effect as one performed by a notary commissioned in Louisiana.
Where do I submit the completed form?
The affidavit is for a building permit application. Submit it to the town, city, or parish listed on your application; confirm with the parish or municipality if unsure.

Affidavit Claiming Exemption From Licensure in other Louisiana cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Affidavit Claiming Exemption From Licensure?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.