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 CERTIFICATE OF USE AND OCCUPANCY INSPECTION REQUEST Date: Contact/Phone Number: (Please Print Clearly) LOCATION OF WORK: OWNER(S) NAME: (CHECK ONE OF THE FOLLOWING) ☐ Residential ☐ Commercial ☐ Other Scope of Project: _ ___________________________________________________________________________________________________ Building Permit No. Approved Date Mechanical Permit No. Approved Date Electrical Permit No. Approved Date Demolition Permit No. Approved Date Plumbing Permit No. Approved Date Flood Permit No. Approved Date The Construction work has been done under the supervision of the following: Owner’s Name: Signature: Designer’s Name: Signature: Contractor’s Name: Signature: _ DEPARTMENTAL USE ONLY No. of Stories: Type of Wall: Type of Roof: Type of Floor: No. of Bedroom(s): No. …
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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 CERTIFICATE OF USE AND OCCUPANCY INSPECTION REQUEST Date: Contact/Phone Number: (Please Print Clearly) LOCATION OF WORK: OWNER(S) NAME: (CHECK ONE OF THE FOLLOWING) ☐ Residential ☐ Commercial ☐ Other Scope of Project: _ ___________________________________________________________________________________________________ Building Permit No. Approved Date Mechanical Permit No. Approved Date Electrical Permit No. Approved Date Demolition Permit No. Approved Date Plumbing Permit No. Approved Date Flood Permit No. Approved Date The Construction work has been done under the supervision of the following: Owner’s Name: Signature: Designer’s Name: Signature: Contractor’s Name: Signature: _ DEPARTMENTAL USE ONLY No. of Stories: Type of Wall: Type of Roof: Type of Floor: No. of Bedroom(s): No. of Bathroom(s): Smoke Detector(s): List additional interior rooms: ___________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ List additional exterior rooms:___________________________________________________________________ ____________________________________________________________________________________________ Inspected By: _________________________________________ Date: __________________________________ Remarks: ____________________________________________________________________________________ SIGN SIGN SIGN Certificate of Use and Occupancy CERTIFICATION OF SUPERVISION UPON APPLICATION FOR A CERTIFICATE OF USE AND/OR OCCUPANCY. TO: The Commissioner of Planning & Natural Resources (Through the Division of Permits) FROM: Certifying Building Supervisor of construction mentioned below SUBJECT: CERTIFICATION OF SUPERVISION AND TRADE WORKMANSHIP LEGAL DESCRIPTION NAME OF OWNER: LOCATION OF BUILDING: BUILDING PERMIT NUMBER: DATE ISSUED: NAME OF DESIGNER: TITLE: (Print) I hereby certify that the above-mentioned project has been built under my supervision and that in its construction all the provisions of the V.I. Building Code and all other applicable laws are complied with. Also, pursuant to V.I. Code, Title 29, Chapter 5, §294 (c) and §298 (b) the work done is in compliance with the work proposed on said Building Permit. NAME OF CERTIFYING SUPERVISOR: Signature: Date: Certifying Supervisor SIGN