Flower Hill, NY · Nassau County

Plumbing Permit Application

This application describes proposed plumbing work and identifies the property owner, plumber, and contractor for people seeking a plumbing permit from the Village of Flower Hill.

Standard form~15 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

The application asks for the property and applicant details, a description and type of proposed work, and a fixture list. The owner or agent must complete the affidavit stating that the application information is true. Applicants are also instructed to provide a reciprocal plumber’s license, insurance certificates, and the permit fee. Use this form when applying to the Village of Flower Hill for plumbing work; a separate permit is required for road openings.

Who needs it

Property owners or their agents applying to the Village of Flower Hill for plumbing work should complete the application and provide the listed license and insurance documents.

Why it needs a notary

The owner or agent signs the sworn affidavit before a notary, who completes the form’s “Sworn to me” jurat with the date and notarial information.

How to get this notarized

  1. 1

    Download The Application

    Download the Village of Flower Hill plumbing permit application.

  2. 2

    Fill In The Form

    Enter the property, owner or agent, plumber, contractor, proposed work, and fixture details; gather the listed license and insurance documents.

  3. 3

    Book An Online Notary

    Schedule a session with a commissioned online notary for the owner or agent affidavit.

  4. 4

    Sign On Video

    Sign the affidavit during the online session when directed by the notary.

  5. 5

    Submit To The Village

    Submit the completed application, notarized affidavit, required documents, and fee to the Village of Flower Hill.

Preview the form

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

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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 the plumbing permit affidavit?
Fill in the application and have the property owner or agent sign the affidavit before a notary. The notary completes the “Sworn to me” jurat and its date and notarial information.
Do I need a notary for this plumbing permit application?
Yes. The form includes an owner/agent affidavit that says the signer is duly sworn and provides a “Sworn to me” line and notary field.
Can I sign the affidavit with a commissioned online notary?
New York authorizes remote online notarization by its notaries under Executive Law §135-c, in effect since 2023. Sign the affidavit during the online notary session, following the notary’s instructions.
What should I include with the application?
The form lists a reciprocal plumber’s license, insurance certificates naming the Village of Flower Hill as additional insured, and a check payable to the Village. It also says road openings require a separate permit; confirm with the city, town or village if unsure.

Plumbing Permit Application in other Nassau County cities

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

Ready to notarize your Plumbing Permit Application?

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