GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS 
DEPARTMENT OF PLANNING AND NATURAL RESOURCES 
DIVISION OF PERMITS 
STX DISTRICT TEL: (340) 773-1082    STT DISTRICT TEL: (340) 774-3320 
 
            INSPECTION REQUEST FORM-RENEWABLES 
 
Date: ___________________   REQUESTED BY: ___________________________    PHONE: __________________________ 
 
(Please Print Clearly) 
NAME OF OWNER:  ______________________________________________________________________________________ 
LOCATION OF BUILDING: ________________________________________________________________________________ 
ELECTRICAL PERMIT NO.: ___________________     ELECTRICIAN:  ___________________________________________ 
PROJECT # __________________________________ 
 
 
1. Size of System DC: ______________________ 
2. Number of Panels: _______________________ 
3. Battery Storage:               Yes ☐  No ☐  
4. Roof Mount        ☐          Ground Mount        ☐   
5. Is the equipment associated with the installation meet Flood Elevation? If applicable. ____________ 
6. Installation installed per NEC 690-705-706:          Yes ☐  No ☐ 
 
DEPARTMENTAL USE ONLY 
Remarks: 
__________________________________________________________________________________________________
__________________________________________________________________________________________________ 
ELECTRICAL 
☐  Pass 
☐ Fail 
☐ Discrepancies 
Inspected By: ________________________________________________ 
Date: _______________________________________________________ 
 
LICENSED ELECTRICIAN 
SEAL & SIGNATURE