Iredell County, NC

Temporary Power Permit Application

Steps

1. Step 1 This section is complete This section is incomplete
2. Step 2 This section is complete This section is incomplete
3. Step 3 This section is complete This section is incomplete

Step 1

Temporary Power Permit Application
Please include permit number for applications to existing construction projects with approved zoning and/or building permits.
Enter existing Permit # or “New”*
AEC User Name
Date*

Date
Property Owner Name*
Owner Contact #*
Project Street Address*
Project City*
Project State
Project Zip Code
Parcel Identification #
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Step 2

Contractor Information
This part must contain complete contractor's information, either the Licensed Contractor's or the Homeowner's. If the homeowner is acting as the contractor, the homeowner must complete Step 2 and Step 3.
Permit Applicant is:*
1. Licensed Contractor
2. Homeowner
Homeowner Acknowledgement*
1. By selecting homeowner, I acknowledge that this is my Primary Residence and I understand I am taking full responsibility for the work that is being completed and the inspections for this trade permit.
Applicant*
Contractor Contact #*
Contractor License #*
Contractor Email Address*
Contractor Fax #
Contractor Street Address*
Contractor City*
Contractor State*
Contractor Zip Code*
Brief Description of Work*
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Step 3

Please acknowledge the following has been read by checking the boxes on the left:
Portions of the electrical system to be energized are limited to LIGHTS, EQUIPMENT AND OUTLETS PROTECTED BY GFCI (ground fault circuit interrupters).
The Code Enforcement Department shall have the electricity disconnected in case of a hazard, illegal occupancy of the building, or the inability, caused by others to make proper inspections. The Code Enforcement Department reserves the right to have the power disconnected for violation of the above without prior notice to the owner or their agent. The applicant has secured written permission from the other contractor’s involved in this project and they are aware that power is being connected to this building.
Temporary power is issued for sixty (60) days only. Temporary power may be extended for additional sixty (60) day intervals - conditionally, following inspection, and authorization by field inspection staff. Each sixty (60) extension will incur an additional fee for renewal. It is the owner/applicant’s responsibility when notified, to reconcile all fees associated with extension of temporary power. Temporary power, which has not been extended, will be disconnected without further notice; (per section 204.9.2 of the NC Administrative Code and Policies Code).
Permit Information
I hereby certify I have read, understand, and agree with the conditions outlined herein, and if disconnection occurs due to my non-compliance I authorize the Inspection Dept. and the Service Utility to disconnect the power and hold them harmless from any damages which may result from their actions. In addition I certify that I am the owner or their authorized agent.
Electronic Signature*
By checking, you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature.
1. I Agree

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1. Receive an email copy of this form.
Email address

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Temporary Power Permit Application

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