Lynbrook, NY · Nassau County
Affidavit of No Plumbing and/or Electric
This one-page affidavit is for Lynbrook property owners applying for a building permit who certify that the project will involve no plumbing or electrical work.
- 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 affidavit records a property owner’s sworn statement that no plumbing or electrical work of any nature will be done as part of the building permit application. The owner also acknowledges that a plumbing or electrical permit must be applied for if that work is installed later. The form asks for the owner’s name, property address, job location, date and signature.
Who needs it
A Lynbrook property owner applying for a building permit and stating that the work will involve no plumbing or electrical work needs this affidavit.
Why it needs a notary
The form has a “Sworn to before me” jurat, so the property owner who makes the statement signs and swears before the notary.
How to get this notarized
- 1
Download the Affidavit
Get the one-page Affidavit of No Plumbing and/or Electric from the Village of Lynbrook.
- 2
Fill In the Details
Provide the date, owner’s name, property address and job location, and review the sworn statement.
- 3
Book an Online Notary
Arrange a remote notarization with a commissioned online notary.
- 4
Sign on Video
Sign and swear to the affidavit during your online notary session.
- 5
Submit With Your Application
Submit the completed affidavit with your building permit application.
Preview the form
The blank PDF straight from Lynbrook. Look it over, then upload your filled copy to start the notary session.
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 no-plumbing/no-electric affidavit?
- Enter the requested date, owner and property details, then sign and swear to the statement before a notary. Submit it with your building permit application.
- Do I need a notary for this affidavit?
- Yes. The form includes a “Sworn to before me” jurat, meaning the owner makes the statement under oath before a notary.
- Can I sign this affidavit with an online notary?
- New York authorizes its notaries to perform remote online notarizations under Executive Law §135-c, effective since 2023. You can sign by video with a commissioned online notary.
- What if plumbing or electrical work is added later?
- The affidavit says the owner must apply for a plumbing or electrical permit if that work is installed at a future date. Confirm with the city, town or village if unsure.