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 INSPECTION REQUEST FORM Date: ___________________ REQUESTED BY: ___________________________ PHONE: __________________________ (Please Print Clearly) NAME OF OWNER: ______________________________________________________________________________________ LOCATION OF BUILDING: ________________________________________________________________________________ BUILDING PERMIT NO.: ______________________ BUILDER: ________________________________________________ ELECTRICAL PERMIT NO.: ___________________ ELECTRICIAN: ___________________________________________ PLUMBING PERMIT NO.: _____________________ PLUMBER: _______________________________________________ PLEASE GIVE EXPLICIT WRITTEN AND/OR GRAPHIC DIRECTIONS TO THE PROPERTY ________________________________________________________________________________________________________ ______________________________________________________________________________________ …
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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 INSPECTION REQUEST FORM Date: ___________________ REQUESTED BY: ___________________________ PHONE: __________________________ (Please Print Clearly) NAME OF OWNER: ______________________________________________________________________________________ LOCATION OF BUILDING: ________________________________________________________________________________ BUILDING PERMIT NO.: ______________________ BUILDER: ________________________________________________ ELECTRICAL PERMIT NO.: ___________________ ELECTRICIAN: ___________________________________________ PLUMBING PERMIT NO.: _____________________ PLUMBER: _______________________________________________ PLEASE GIVE EXPLICIT WRITTEN AND/OR GRAPHIC DIRECTIONS TO THE PROPERTY ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ BUILDING ELECTRICAL PLUMBING FLOOD ☐Footings/Cistern Bottom ☐Floor Slab ☐Floor Slab ☐Floor Slab ☐Foundation/Footings/Floor Slab ☐Rough-in (Walls) ☐Rough-in (Walls) ☐Certificate of Elevation ☐Temporary Power ☐Main Distribution Line/Sewage System ☐Walls ☐Columns ☐Beams ☐ Meter Relocation ☐Mechanical ☐ Roof ☐Re-inspection ☐Re-inspection ☐Re-inspection ☐Other ______________________ ☐Other __________________ ☐Other _____________________ NOTE: Pursuant to Title 29 Chapter 5 § 294 (b) of the VI code, an approved set of plans should be readily available to Inspectors and the permit shall be prominently displayed at the site of work. ***Work shall not be done beyond the point indicated above inspection request without obtaining approval to proceed to the next phase. *** DEPARTMENTAL USE ONLY BUILDING/FLOOD ELECTRICAL PLUMBING/MECHANICAL ☐Pass ☐Pass ☐Pass ☐Fail ☐Fail ☐Fail ☐Discrepancies ☐Discrepancies ☐Discrepancies Inspected By: _____________________ Inspected By: _____________________ Inspected By: ____________________ Date: ___________________________ Date: ___________________________ Date: ___________________________