South Floral Park, NY · Nassau County
Homeowner Certification for Work Without a Contractor
This form certifies that a property owner will perform demolition or construction without contractors and includes a workers’ compensation exemption affidavit for a South Floral Park building permit.
- 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 form lets property owners certify that they will perform demolition or construction themselves, without contractors or subcontractors, and accept responsibility for the work. It also includes an affidavit explaining why the owner may not need to provide specific proof of workers’ compensation coverage. South Floral Park’s building inspector decides whether to issue a permit for homeowner-performed work, so owners submit the completed form with their building permit application.
Who needs it
South Floral Park property owners applying for a building permit for work they plan to perform themselves without hiring a contractor may need this certification.
How to get this notarized
- 1
Download the Form
Get the Homeowner Certification for Work Being Performed by the Homeowner Without a Contractor.
- 2
Fill In the Form
Complete the owner, property, and permit-related information, and review the certification and exemption statements.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary and have your identification ready.
- 4
Sign on Video
Sign the sworn sections during the video session when directed by the notary.
- 5
Submit to the Village
Submit the notarized form with your building permit application to the Village of South Floral Park.
Preview the form
The blank PDF straight from South Floral Park. 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 this homeowner certification?
- Fill in the property and owner details, review the statements and exemption options, then sign the required sections in front of a notary before submitting the form with your permit application.
- Do I need to sign this form in front of a notary?
- Yes. The form includes sworn-to-before-me blocks for the homeowner certification and the workers’ compensation affidavit. Wait to sign those sections until you are with the notary.
- Can I use an online notary for this form?
- New York permits remote online notarization by a commissioned online notary. You can sign during a video session, subject to the notary’s identity-checking and signing process.
- Where do I submit the completed form?
- Submit it to the Village of South Floral Park with your building permit application. Confirm with the city, town or village if unsure about submission details.