Brookhaven, NY · Suffolk County

Building Permit Application

Brookhaven property owners use this application to request a building permit for proposed work and certify that the owner completed the application information accurately.

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 Town of Brookhaven application collects property, owner, agent and work details for proposed structures and other building projects. The owner certification states that the property owner personally completed the information and certifies its accuracy; the form provides a notary jurat for that certification. Applicants may also need to provide supporting documents and approvals, such as plans, surveys, insurance forms or agency approvals, depending on the project.

Who needs it

Property owners applying to Brookhaven’s Division of Building for a permit to construct a proposed structure or perform other work described in the application need this form.

Why it needs a notary

The form carries a jurat labeled “Sworn to me”; the property owner signs the certification declaring they personally completed the application information and certify its accuracy before a notary.

How to get this notarized

  1. 1

    Download the Application

    Get the Town of Brookhaven Building Permit Application and review its requirements and supporting-document checklist.

  2. 2

    Fill In the Form

    Enter the owner, property and work details. Complete the owner certification, but wait to sign it until the notary session.

  3. 3

    Book an Online Notary

    Schedule a video appointment with a commissioned online notary for the owner certification jurat.

  4. 4

    Sign on Video

    Show identification and sign the owner certification during the online notary session as directed.

  5. 5

    Submit to the Town

    Submit the notarized application and any required plans, surveys, approvals or other supporting documents to the Town of Brookhaven.

Preview the form

The blank PDF straight from Brookhaven. 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 notarize the owner certification?
Complete the application, then book with a commissioned online notary. Sign the owner certification during the video session when instructed, and submit the notarized form with any required documents.
Do I need to sign the certification in front of a notary?
The application includes a notary jurat marked “Sworn to me” beside the owner certification. The property owner should sign that certification before a notary.
Can I use an online notary for this application?
New York authorizes its notaries to perform remote online notarizations under Executive Law §135-c, effective in 2023. Use a commissioned online notary and confirm with the city, town or village if unsure.
What else may I need to submit with the application?
The form lists possible supporting items such as plans, original stamped surveys, insurance forms, and applicable agency approvals. Requirements depend on the project; review the application checklist.

Building Permit Application in other Suffolk County cities

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

Ready to notarize your Building Permit Application?

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