Dublin, PA · Bucks County
Building Permit Application and Workers’ Compensation Exemption
Dublin Borough’s building permit application collects project, property, owner, and contractor details, and includes a workers’ compensation exemption statement for applicants claiming an exemption.
- 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 Dublin Borough building permit and provide information about the property, proposed work, contractors, and project costs. The form also includes a workers’ compensation coverage section; applicants claiming an exemption must complete its exemption statement, which says it must be notarized. Submit applicable applications, plans, specifications, and the required fee as described in the borough’s procedures.
Who needs it
Property owners or authorized agents applying for a Dublin Borough building permit should use this form and complete the workers’ compensation section when applicable.
Why it needs a notary
The workers’ compensation exemption section contains a sworn-or-affirmed statement marked “MUST BE NOTARIZED”; the applicant claiming exemption signs before the notary.
How to get this notarized
- 1
Download the Application
Get the Dublin Borough building permit application and review its procedures and workers’ compensation section.
- 2
Complete the Applicable Sections
Enter the property, owner, contractor, and project details. Complete the exemption section if claiming an exemption, but leave its signature for the notary appointment.
- 3
Book an Online Notary
Schedule a remote session with a commissioned online notary and have identification and the unsigned statement ready.
- 4
Sign on Video
Meet the notary by video and sign the workers’ compensation exemption statement when instructed.
- 5
Submit to the Borough
Submit the completed application with applicable plans, specifications, and fee as directed by Dublin Borough.
Preview the form
The blank PDF straight from Dublin. 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 get the workers’ compensation exemption statement notarized?
- Complete the applicable exemption details, but wait to sign the sworn-or-affirmed statement until you meet with a commissioned online notary. Ask Dublin Borough if you are unsure which exemption reason applies.
- Do I need to notarize every part of the building permit application?
- The form specifically marks the workers’ compensation exemption statement “MUST BE NOTARIZED.” It does not identify the other application sections as requiring notarization.
- Can I use an online notary for this form?
- Pennsylvania has authorized remote online notarization by commissioned notaries since 2020 under 57 Pa.C.S. §306.1. Ask Dublin Borough whether it accepts this exemption statement notarized with a commissioned online notary.
- What should I submit with the building permit application?
- The borough’s procedures call for applicable permit applications, building plans and specifications, and a nonrefundable $100 application fee. Plans must include an architect seal unless the borough waives that requirement.
- Who signs the notarized exemption statement?
- The applicant claiming an exemption signs the statement, which says the signer swears or affirms that they are not required to provide workers’ compensation insurance for one of the listed reasons.