GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS
☐ GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS DEPARTMENT OF PLANNING AND NATURAL RESOURCES DIVISION OF PERMITS STX DISTRICT TEL: (340) 773-1082 STT/STJ DISTRICT TEL: (340) 774-3320 PERMIT APPLICATION CONTROL FORM PROJECT INFORMATION APPLICANT NAME PHONE NAME OF AUTHORIZED PERSON FOR PICKUP OF PERMIT PHONE EMAIL PROPERTY OWNER'S NAME PHONE ADDRESS EMAIL PROJECT DESIGNER/ARCHITECT/ENGINEER NAME ADDRESS EMAIL ELECTRICIAN LICENSE NO. PHONE ADDRESS EMAIL PLUMBER LICENSE NO. PHONE ADDRESS EMAIL PROJECT LOCATION/PLOT NO. ESTATE QUARTER ISLAND ZONING DISTRICT PARCEL IDENTIFICATION NO. PROJECT DESCRIPTION Description of land or water use intended, i e single-family dwelling, hotel, restaurant, etc. Provide details on all water and land development plans, including land preparation, site, and building construction, special construction, digging (including wells), water treatment, storage facilities, etc. …
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☐ GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS DEPARTMENT OF PLANNING AND NATURAL RESOURCES DIVISION OF PERMITS STX DISTRICT TEL: (340) 773-1082 STT/STJ DISTRICT TEL: (340) 774-3320 PERMIT APPLICATION CONTROL FORM PROJECT INFORMATION APPLICANT NAME PHONE NAME OF AUTHORIZED PERSON FOR PICKUP OF PERMIT PHONE EMAIL PROPERTY OWNER'S NAME PHONE ADDRESS EMAIL PROJECT DESIGNER/ARCHITECT/ENGINEER NAME ADDRESS EMAIL ELECTRICIAN LICENSE NO. PHONE ADDRESS EMAIL PLUMBER LICENSE NO. PHONE ADDRESS EMAIL PROJECT LOCATION/PLOT NO. ESTATE QUARTER ISLAND ZONING DISTRICT PARCEL IDENTIFICATION NO. PROJECT DESCRIPTION Description of land or water use intended, i e single-family dwelling, hotel, restaurant, etc. Provide details on all water and land development plans, including land preparation, site, and building construction, special construction, digging (including wells), water treatment, storage facilities, etc. REQUIREMENTS PRIMARY PERMIT: ☐ SUBDIVISION ☐ BUILDING PERMIT ☐ HISTORIC DISTRICT ☐ COASTAL ZONE MANAGEMENT SECONDARY APPROVAL REQ’D SUB’D DATE APPROVED BY DATE FEE PAID AIR POLLUTION CONTROL- CONSTRUCT/OPERATE ARMY CORPS OF ENGINEER BUILDING PERMIT CZM MAJOR LAND CZM MINOR LAND CZM MAJOR WATER CZM MINOR WATER DEMOLITION EARTH CHANGE ELECTRICAL PERMIT ENERGY COMPLIANCE FIRE SERVICE FLOOD HAZARD GROUP DWELLING HAZARDOUS MATERIAL REVIEW HISTORIC DISTRICT HOMEOWNER’S ASSOCIATION PLUMBING PERMIT PUBLIC WATER SUPPLY SYSTEM ROAD & DRIVEWAY STORMWATER SUBDIVISION PRELIMINARY SUBDIVISION FINAL UNDERGROUND STORAGE TANK SEWER CONNECTION/TREATMENT PLANT WATER DISCHARGE/POLLUTION CONTROL WATER QUALITY CERTIFICATION WELL DRILLING APPROPRIATION LEGAL DOCUMENTS REQUIRED: CORPORATE AGREEMENTS ☐ LIST OF NEIGHBORING PROPERTIES ☐DEED ☐ZONING MAP ☐P.W. D MAP ☐ PROOF OF LEGAL INTEREST ☐ OTHER_______________________________________ DEPARTMENTAL USE ONLY RECEIVED BY: DATE RECEIVED REVIEWED BY: DATE REVIEWED: ☐ APPROVED ☐DISAPPROVED DATE: PERMIT NUMBER