Lyndhurst, OH · Cuyahoga County
Affidavit for Homeowner’s Permit
Lyndhurst homeowners complete this affidavit to confirm they live at the property and will personally perform the permitted work.
What this form is
This affidavit accompanies a homeowner permit application and confirms that the homeowner owns and primarily resides at the property and will personally perform the work. The signer also accepts responsibility for the work and for scheduling required inspections. The form asks for the homeowner’s signature, address, phone number, date, and a witness, and states that it must be attached to the permit application.
Who needs it
A homeowner applying for a permit who lives at the property as their primary residence and will personally perform the work needs this affidavit.
How to submit it
Submit it to the City of Lyndhurst Building Department at 5301 Mayfield Road, Lyndhurst, Ohio 44124; check the city website for current contact details.
About notarization
This affidavit is signed without a notary; the homeowner signs and dates it, and the form includes a “Witnessed By” field.
How to submit this form
- 1
Download The Affidavit
Download the Affidavit for Homeowner’s Permit PDF.
- 2
Complete The Form
Enter the homeowner’s address and phone number, then sign and date the affidavit.
- 3
Attach It To The Application
Attach the completed affidavit to the permit application as directed on the form.
- 4
Submit To The Building Department
Submit it to the City of Lyndhurst Building Department at 5301 Mayfield Road, Lyndhurst, Ohio 44124.
Frequently asked questions
- Do I need a notary for the Affidavit for Homeowner’s Permit?
- No. This document is signed without a notary. The homeowner signs and dates it, and the form has a “Witnessed By” field.
- Who should complete this homeowner permit affidavit?
- The homeowner must own and personally reside at the property as their primary residence and personally perform the work described on the permit application.
- What do I attach this affidavit to?
- The form states that the affidavit is to be attached to the permit application.
- How do I submit the homeowner permit affidavit?
- Submit it to the City of Lyndhurst Building Department at 5301 Mayfield Road, Lyndhurst, Ohio 44124. Check the city website for current contact details.
Need something notarized?
This Affidavit for Homeowner’s Permit doesn’t need a notary — but if you have another Lyndhurst form that does, a commissioned online notary can help.
