Flower Hill, NY · Nassau County

No notary required

Application for Extension of Permit

Flower Hill applicants use this form to request an extension of an issued building permit and provide the reason for the extension.

What this form is

This application requests an extension of an issued building permit and records the permit number, issue date, site address, property section, block and lot, applicant contact details, and reason for the request. Applicants must provide updated contractor insurance certificates and current licenses; the form says a fee of 25% of the original permit fee for the first extension or 50% for the second must accompany the application, and fees are non-refundable.

Who needs it

Applicants seeking an extension of an issued building permit should complete this form and provide the required insurance certificates and current licenses.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed and dated without a notary; updated contractor insurance certificates and current licenses must accompany it.

How to submit this form

  1. 1

    Download The Application

    Download the Application for Extension of Permit PDF.

  2. 2

    Complete The Form

    Enter the permit and property details, applicant contact information, reason for the extension, and signature and date.

  3. 3

    Gather Required Items

    Include updated contractor insurance certificates and current licenses, along with the applicable fee stated on the form.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Application for Extension of Permit?
No. This application is signed and dated without a notary. Updated contractor insurance certificates and current licenses must accompany it.
How do I submit the permit extension application?
Submit it to the city department named on the form; check the city website for current contact details.
What information does the application ask for?
It asks for the building permit number and issue date, site address, section, block and lot, applicant name, address and phone, and the reason for the extension.
What must accompany the application?
The form requires updated contractor insurance certificates and current licenses. It also says the applicable extension fee must accompany the application and that fees are non-refundable.

Need something notarized?

This Application for Extension of Permit doesn’t need a notary — but if you have another Flower Hill form that does, a commissioned online notary can help.