Port Wentworth, GA · Chatham County

No notary required

Electrical Permit Affidavit

Electricians use this affidavit to request an electrical permit to restore permanent power to a vacant residential or commercial property.

What this form is

This affidavit requests an electrical permit to restore permanent power to a residential or commercial property that has been vacant for six or more months. The applicant states that the property has been inspected, complies with applicable electrical codes, and is safe for power restoration. The form asks for the property address, electrician’s name, Georgia electrical contractor’s license number, and signature.

Who needs it

An electrician seeking an electrical permit to restore permanent power to a residential or commercial property vacant for six or more months should complete this form.

How to submit it

Submit the form to the City of Port Wentworth at 224 Highway 21, Port Wentworth, Georgia 31407. The form lists the city phone number as (912) 999-2084.

About notarization

This document is signed without a notary; the signer completes and dates the form, and it lists no notarized attachment or related step.

How to submit this form

  1. 1

    Download The Affidavit

    Download the Electrical Permit Affidavit form.

  2. 2

    Complete The Form

    Enter the property address, electrician’s full name, and Georgia electrical contractor’s license number.

  3. 3

    Sign The Form

    The electrician signs the form and states that the property was inspected and is safe for power restoration.

  4. 4

    Submit To The City

    Submit the completed form to the City of Port Wentworth at 224 Highway 21, Port Wentworth, Georgia 31407.

Frequently asked questions

What is the Electrical Permit Affidavit for?
It requests an electrical permit to restore permanent power to a residential or commercial property that has been vacant for six or more months.
Who completes this affidavit?
The form requests the electrician’s name, Georgia electrical contractor’s license number, and signature, along with the property address.
Do I need a notary for the Electrical Permit Affidavit?
No. This document is signed without a notary; the signer completes and dates the form, and it lists no notarized attachment or related step.
How do I submit the Electrical Permit Affidavit?
Submit it to the City of Port Wentworth at 224 Highway 21, Port Wentworth, Georgia 31407. The form lists (912) 999-2084.

Need something notarized?

This Electrical Permit Affidavit doesn’t need a notary — but if you have another Port Wentworth form that does, a commissioned online notary can help.