Bernville, PA · Berks County

Repair or Replacement Permit Application

This three-page application requests approval for repair or replacement work and is filed by the property owner, the owner’s agent, or the contractor completing the application.

Detailed form~25 min to notarize
  • 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

Use this application to request a permit for listed work such as siding, non-structural reroofing, windows with structural changes, or another repair or replacement project. The applicant submits the completed form and fee before work begins; the municipality reviews the application and contacts the applicant when an approved permit is ready for pickup. A contractor requesting an exemption from workers’ compensation insurance must also complete the required notarized section.

Who needs it

A property owner, owner’s agent, or contractor seeking a permit for repair or replacement work must submit the application and required supporting information.

Why it needs a notary

The contractor requesting a workers’ compensation exemption signs Section B before a notary, using the form’s “Subscribed and sworn to before me” jurat.

How to get this notarized

  1. 1

    Download the Permit Packet

    Get the repair or replacement permit application and workers’ compensation coverage form.

  2. 2

    Complete the Applicable Sections

    Fill in the project and applicant information, and include the required fee and supporting documents.

  3. 3

    Book an Online Notary

    If you are a contractor requesting an exemption, book a commissioned online notary for Section B.

  4. 4

    Sign on Video

    Sign the exemption section in front of the notary during your online video appointment.

  5. 5

    Submit the Application

    Return the completed application and required materials to the municipality; wait for approval before starting work.

Preview the form

The blank PDF straight from Bernville. Look it over, then upload your filled copy to start the notary session.

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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

Which part of the permit application needs notarization?
Only contractors requesting an exemption from workers’ compensation insurance must sign Section B before a notary. The form includes a “Subscribed and sworn to before me” jurat.
Do I need a notary for this permit application?
You need notarization if you are a contractor requesting an exemption from workers’ compensation insurance. The form does not require notarization for every applicant.
How do I complete the notarized exemption section online?
Complete the applicable information, then meet with a commissioned online notary by video. Sign Section B as directed during the session and submit the completed form with your application.
Can I start repair work after submitting the application?
No. The instructions say work may not begin until you have paid for and received the approved permit. Contact the city if you are unsure what applies to your project.

Ready to notarize your Repair or Replacement Permit Application?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.