Rocky Mount, NC · Nash County
Owner Exemption Affidavit for Mechanical, Plumbing, or Electrical Work
This affidavit lets a homeowner or legally identified firm or corporation declare eligibility to perform mechanical, plumbing, or electrical work on its own single-family dwelling when applying for a 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
Rocky Mount uses this affidavit when a homeowner or legally identified firm or corporation seeks a permit to perform mechanical, plumbing, or electrical work on the listed single-family dwelling. The signer identifies the property, selects the type of installation, and initials declarations about occupancy, personally completing the work, attending inspections, and not renting, leasing, or selling the property for up to 12 months. The form also includes an oath or affirmation and notary block.
Who needs it
A homeowner or legally identified firm or corporation applying to perform mechanical, plumbing, or electrical work on its own single-family dwelling needs this affidavit.
How to get this notarized
- 1
Download the Affidavit
Get the Owner Exemption Affidavit for mechanical, plumbing, or electrical work from the city’s document page.
- 2
Complete the Form
Select the installation type, enter owner and property information, and initial each applicable declaration.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary and check with the city about acceptance before proceeding.
- 4
Sign Before the Notary
Sign and swear or affirm the affidavit before the notary; complete the notary block and seal.
- 5
Submit to the City
Submit the completed affidavit with your permit application to Rocky Mount Inspection Services.
Preview the form
The blank PDF straight from Rocky Mount. 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 Owner Exemption Affidavit?
- Select the installation type, complete the owner and property details, and initial each declaration. Sign and swear or affirm the affidavit before a notary, then submit it with your permit application.
- Do I need to sign this form in front of a notary?
- Yes. The form says it must be signed and sworn to or affirmed before a notary, and it provides spaces for the notary’s signature, printed name, commission expiration, and seal.
- Can I use remote online notarization for this affidavit?
- North Carolina has enacted a remote electronic notarization law for its own notaries, but that program has not launched. Emergency video notarization requires both signer and notary to be in North Carolina and is not remote online notarization. Check acceptance with the city.
- What should I do if I am unsure whether the city will accept my notarization?
- Ask the Rocky Mount Inspection Services Division which notarization methods it accepts for this permit affidavit; confirm with the city or town if unsure.
Owner Exemption Affidavit for Mechanical, Plumbing, or Electrical Work in other North Carolina cities
Each city publishes its own version of this form. Pick the city where you’re filing.