Permit Application for Renewable Energy
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 RENEWABLE ENERGY SYSTEMS PERMIT APPLICATION Island: ☐ STX ☐ STT ☐ STJ ☐ WI APPLICANT Name/Business Name: Phone: Email: Mailing Address: PROPERTY OWNER Name/Business Name: Phone: Email: Mailing Address BUILDING INFORMATION Location Address: ☐ Tier I ☐ Tier II ☐ Concrete ☐ Frame Structure Type: ☐ Mass Masonry Class of Work: ☐ New ☐ Add ☐ Repair ☐ Alteration Type of Renewable System: ☐ Solar ☐ Wind ☐ Hybrid ☐ Battery Base ☐ Other ☐ Grid Tied ☐ Grid Tied/Noninteractive ☐ Stand Alone ☐ Ground Mount ☐ Concrete Slab ☐ Piling ☐ Piling w/Footing Building Use: (Private or rental dwelling, warehouse, store, restaurant, bar, office, etc.): Service Entrance: ☐ Existing ☐ Proposed Service Size: ☐ 100A ☐150A ☐200A ☐ Other STATEMENT OF PROPOSED WORK DESCRIPTION OF PROPOSED WORK AND RELATED INFORMATION Estimated Current: Voltage: ☐ 120/240 ☐ 120/208 ☐ 480/277 Conductor Size: ☐ Underground ☐ Overhead ☐ Single Phase ☐ Three …
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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 RENEWABLE ENERGY SYSTEMS PERMIT APPLICATION Island: ☐ STX ☐ STT ☐ STJ ☐ WI APPLICANT Name/Business Name: Phone: Email: Mailing Address: PROPERTY OWNER Name/Business Name: Phone: Email: Mailing Address BUILDING INFORMATION Location Address: ☐ Tier I ☐ Tier II ☐ Concrete ☐ Frame Structure Type: ☐ Mass Masonry Class of Work: ☐ New ☐ Add ☐ Repair ☐ Alteration Type of Renewable System: ☐ Solar ☐ Wind ☐ Hybrid ☐ Battery Base ☐ Other ☐ Grid Tied ☐ Grid Tied/Noninteractive ☐ Stand Alone ☐ Ground Mount ☐ Concrete Slab ☐ Piling ☐ Piling w/Footing Building Use: (Private or rental dwelling, warehouse, store, restaurant, bar, office, etc.): Service Entrance: ☐ Existing ☐ Proposed Service Size: ☐ 100A ☐150A ☐200A ☐ Other STATEMENT OF PROPOSED WORK DESCRIPTION OF PROPOSED WORK AND RELATED INFORMATION Estimated Current: Voltage: ☐ 120/240 ☐ 120/208 ☐ 480/277 Conductor Size: ☐ Underground ☐ Overhead ☐ Single Phase ☐ Three Phase No. of Meters: Height of Weatherhead: Number of Dwellings: No. of Distribution Panels: Size of Grounding Electrode Conductor: Inverter Model No.: Inverter Serial No.: PV Model No.: Wire Type: No. of Model in Series: Size of Conductors: No. of Model in Strings: PV Source Circuit: Total No. of Modules: PV Source Ampacity: Total KW: Size of Overcurrent Protection: Weight of Array: Inverter: Total estimated cost of proposed work (Including Equipment): $ Has work been started? ☐ Yes ☐ No The electrician who will perform the work: License No.: Mailing Address: Phone: UNDER PENALTY OF INTENTIONAL MISREPRESENTATION AND/OR PERJURY, I declare that I have examined and or/ made this application, and it is true and correct to the best of my knowledge and belief. I agree to construct said improvement in compliance with all provisions of the applicable ordinances. I have been given authorization from the property owner to obtain this permit. I realize that the information that I have affirmed hereon forms a basis for the issuance of the permit herein applied for and approval of plans in connection therewith shall not be constructed to permit any construction upon said premises or use thereof in violation of any applicable ordinance or to excuse the owner or his or her successors in title from complying therewith. Signature of Electrician Date Licensed USVI Electrician Seal LOAD REQUIREMENT SHEET Account No.: Service Class: ☐ Residential ☐ Commercial ☐ Other Size of Installed Renewable System: Watts Date Service Required: Additional Comments: Signature of Applicant and Date: