What does the Pickerington homeowner affidavit ask for?

It asks for the homeowner’s name, dwelling address, permit work category, signature, signing date, and telephone number. The homeowner also certifies ownership, residence, and responsibility for the work.

Who uses this affidavit?

A legal owner who lives in the dwelling and is applying for a permit to perform the listed work personally uses this affidavit.

Do I need a notary for the Homeowner’s Affidavit?

No. The form has no notary block; the homeowner signs and dates it. It asks the homeowner to swear and/or affirm the statements.

Pickerington, OH · Fairfield County

No notary required

Homeowner’s Affidavit for Homeowner Permit Application

Pickerington homeowners use this affidavit when applying for a permit to perform specified work on their own dwelling.

What this form is

The affidavit accompanies a homeowner permit application and identifies the dwelling, the work the homeowner plans to perform, and the homeowner’s contact information. The homeowner certifies legal ownership and residence, agrees to perform the work personally, comply with city ordinances, and request applicable inspections. The form lists structural alteration or remodeling, refrigeration, electrical, plumbing, heating, and other work.

Who needs it

A homeowner applying for a permit to perform work personally at a dwelling they legally own and occupy needs this affidavit.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document has no notary block; the homeowner signs and dates it, and the affidavit asks the homeowner to swear and/or affirm the statements.

How to submit this form

1
Download The Affidavit
Download the Homeowner’s Affidavit for the homeowner permit application.
2
Complete The Form
Enter your name, dwelling address, work category, telephone number, and signing date; sign the affidavit.
3
Gather Attachments
The document does not list any attachments.
4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Pickerington homeowner affidavit ask for?: It asks for the homeowner’s name, dwelling address, permit work category, signature, signing date, and telephone number. The homeowner also certifies ownership, residence, and responsibility for the work.
Who uses this affidavit?: A legal owner who lives in the dwelling and is applying for a permit to perform the listed work personally uses this affidavit.
Do I need a notary for the Homeowner’s Affidavit?: No. The form has no notary block; the homeowner signs and dates it. It asks the homeowner to swear and/or affirm the statements.
How do I submit the Homeowner’s Affidavit?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Homeowner’s Affidavit for Homeowner Permit Application doesn’t need a notary — but if you have another Pickerington form that does, a commissioned online notary can help.