Port Jefferson, NY · Suffolk County

No notary required

Mechanical, Plumbing, and Electrical Permit Application

Property owners or applicants use this application to request a Port Jefferson permit for mechanical, plumbing, or electrical work.

What this form is

This application requests a permit to install or alter mechanical services, systems, or heating systems, and provides information for mechanical work. The document says a complete application must include four copies of the application, four sets of plans, ownership evidence, contractor insurance and Suffolk County license copies, and a dwelling certificate of occupancy or existing use. It also includes an owner certification and a gas supply line test certification.

Who needs it

Property owners or their applicants seeking a permit for mechanical, plumbing, or electrical work in Port Jefferson need this application.

How to submit it

Submit the complete application to the Building & Planning Department at 88 North Country Road, Port Jefferson, NY 11777. Include the listed copies and attachments, and pay by check or money order: $75.00 or 0.5% of cost, whichever is greater.

About notarization

This document is signed without a notary; the applicant, property owner, and licensed plumber sign their respective sections and acknowledge their statements.

How to submit this form

  1. 1

    Download the Application

    Download the Mechanical, Plumbing, and Electrical Permit Application PDF.

  2. 2

    Complete the Application

    Fill in the requested owner, applicant, contractor, project, work, and equipment information.

  3. 3

    Gather Required Documents

    Include four sets of plans, ownership evidence, contractor insurance and license copies, and the dwelling certificate listed on the information page.

  4. 4

    Submit to the Department

    Submit the complete application and payment to the Building & Planning Department at 88 North Country Road, Port Jefferson, NY 11777.

Frequently asked questions

Do I need a notary for the Mechanical, Plumbing, and Electrical Permit Application?
No. This document is signed without a notary; the applicant, property owner, and licensed plumber sign their respective sections and acknowledge their statements.
How do I submit the permit application?
Submit it to the Building & Planning Department at 88 North Country Road, Port Jefferson, NY 11777, with the required copies, attachments, and payment.
What must accompany a complete application?
The document lists four completed application copies, four sets of plans, ownership evidence, contractor insurance and Suffolk County license copies, and a dwelling certificate of occupancy or existing use.
What information does the application request?
It asks for owner, applicant, contractor, work location and cost, building and work types, fuel type, and details about equipment. The form also includes owner and gas line test certifications.

Need something notarized?

This Mechanical, Plumbing, and Electrical Permit Application doesn’t need a notary — but if you have another Port Jefferson form that does, a commissioned online notary can help.