South Floral Park, NY · Nassau County

Plumbing Permit Application

This application requests a Village plumbing permit for plumbing work such as new installations, alterations, gas fixtures, sprinkler systems, or backflow devices, and must be submitted by a licensed plumber.

Detailed form~25 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 collects property and owner details, the proposed work, plumber information, and fixture counts. The Village requires a plumbing permit for listed work including new or altered plumbing, gas fixtures, sprinkler systems, and backflow devices. A property owner also completes an authorization stating that the information is true and describing the owner's responsibilities for approved plans and inspections. The form says processing may take two or more weeks depending on scheduling.

Who needs it

A licensed plumber with a valid plumber's license submits the application, and the property owner completes the owner authorization for the proposed plumbing work.

Why it needs a notary

The owner authorization contains a jurat reading “Sworn to me”; the property owner signs that statement before a notary public.

How to get this notarized

  1. 1

    Download the Application

    Get the Village plumbing permit application and review its general information and requirements.

  2. 2

    Complete the Form

    Fill in all applicable property, work, plumber, and fixture details, and complete the owner authorization.

  3. 3

    Book an Online Notary

    Schedule a video appointment with a commissioned online notary for the owner's sworn authorization.

  4. 4

    Sign on Video

    Sign the owner authorization during the online notary session, following the notary's instructions.

  5. 5

    Submit to the Village

    Have the licensed plumber submit the completed application and required documents to the Village Building Department.

Preview the form

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

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Info

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 owner authorization notarized?
Complete the owner details, but wait to sign the authorization until you meet with a commissioned online notary by video. After notarization, include it with the permit application.
Do I need a notary for this plumbing permit application?
The owner authorization includes a sworn statement and a jurat for a notary public. The property owner signs that statement before the notary.
Can I use an online notary for this form?
New York authorizes remote online notarization by a commissioned online notary. You can complete the notarization by video, then submit the notarized authorization with the application.
Who submits the plumbing permit application?
The form says only a licensed plumber holding a valid plumber's license may submit the application for processing. Plumbing fees must be paid by a check from the plumber.
What if I am unsure about the Village's submission requirements?
Contact the Village Building Department about application documents, fees, and submission. 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.