Winston-Salem, NC · Forsyth County
Plumbing Installation by Property Owner Affidavit
This affidavit documents a property owner's claim to install plumbing in their own structure and is filed with Winston-Salem/Forsyth County Planning & Development Services for the applicable 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 affidavit states that the owner will occupy the structure for 12 months after the work is complete and will perform the plumbing work personally. It also acknowledges the owner's responsibilities, including meeting the Plumbing Code and arranging for a licensed contractor if the permit is stopped under the conditions described. The form is for property owners seeking a permit to install plumbing in their own structure.
Who needs it
A property owner seeking a permit to install plumbing in their own structure and agreeing to occupy it for 12 months after the work is complete needs this affidavit.
Why it needs a notary
The form has an acknowledgment block stating the signer personally appeared and acknowledged signing; the property owner named in the affidavit signs before the notary.
How to get this notarized
- 1
Download the Affidavit
Get the Plumbing Installation by Property Owner Affidavit from the city form source.
- 2
Fill In the Form
Complete the requested property, owner, and date information.
- 3
Book an Online Notary
Arrange an appointment with a commissioned online notary and confirm the city accepts online notarization.
- 4
Sign on Video
Appear before the notary and sign when instructed so the acknowledgment can be completed.
- 5
Submit to the City
Submit the notarized affidavit through the permit process; check with the department for submission instructions.
Preview the form
The blank PDF straight from Winston-Salem. 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 the plumbing owner affidavit?
- Fill in the requested information, sign before a notary who completes the acknowledgment, and submit the affidavit as part of your permit process.
- Do I need to occupy the structure after the plumbing work?
- The affidavit says you must occupy the structure yourself for 12 months after the work is complete, and that it will not be rented or used by others.
- Can I use an online notary for this affidavit?
- North Carolina's remote electronic notarization program has not launched. Rush Notary can connect you with a commissioned online notary; ask the city whether it accepts an online-notarized affidavit. Emergency video notarization is not remote online notarization.
- Where do I submit the completed affidavit?
- The form is from Winston-Salem/Forsyth County Planning & Development Services. Confirm the submission process with the department; confirm with the city or town if unsure.
Other forms in Winston-Salem
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Change of Contractor Affidavit
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Electrical Installation by Property Owner Affidavit
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Affidavit of On-Site Wastewater Existing System
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Installation By Property Owner (Mechanical) Affidavit
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Non-Conforming Use Affidavit
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