Plandome Heights, NY · Nassau County
Application for a Plumbing Permit
This application requests permits for plumbing and related work, and property owners and their licensed contractors submit it to the Incorporated Village of Plandome Heights Building Department.
- 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
Use this two-page application to request a permit for plumbing, heating, drainage, sewage disposal, HVAC, generator, or other listed work. The applicant completes it in duplicate with property, owner, contractor, and project details, and the form includes an owner affidavit and fixture inventory. The village says the application becomes a permit only after it is approved, stamped, and returned; applicants must read the conditions on the back and follow the stated inspection and work-start requirements.
Who needs it
Property owners and their plumbers or other listed contractors use this application to seek village approval for covered work at a Plandome Heights property.
Why it needs a notary
The form has separate “Sworn to me” jurat blocks for the property owner and licensed plumber or contractor, who must sign their statements before the notary.
How to get this notarized
- 1
Download the Application
Get the plumbing permit application and review its instructions and conditions.
- 2
Fill Out the Form
Complete the property, owner, contractor, work, and fixture details; prepare the required duplicate and any listed supporting materials.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary for the owner and licensed plumber or contractor.
- 4
Sign on Video
Each signer completes the applicable sworn statement in the notary’s presence during the video appointment.
- 5
Submit to the Village
Send the completed application to the Plandome Heights Building Department and follow its approval and inspection instructions.
Preview the form
The blank PDF straight from Plandome Heights. 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 get the plumbing permit application notarized?
- Complete the application, then book a video appointment with a commissioned online notary. The owner and licensed plumber or contractor sign their sworn statements during the appointment.
- Do I need to sign the form in front of a notary?
- Yes. The form has separate sworn-to blocks for the property owner and licensed plumber or contractor, with a notary signature line for each.
- Can I use a commissioned online notary for this form?
- New York authorizes its notaries to perform remote online notarizations under Executive Law §135-c, in effect since 2023. Ask the village if you have questions about its submission process.
- What should I submit with the application?
- The form says to apply in duplicate and notes that some permit types require a schematic or survey. Review its requirements and confirm with the city, town or village if unsure.
Application for a Plumbing Permit in other Nassau County cities
Each city publishes its own version of this form. Pick the city where you’re filing.