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 
    APPLICATION for DEMOLITION PERMIT 
Submit a Site Location Map and Site Plan of building(s) or structure(s) to be demolished, proof of ownership, and photos (if 
required). 
PARCEL IDENTIFICATION NUMBER (PIN) __________________________________ 
A.
LEGAL INFORMATION
OWNER OF BUILDING/STRUCTURE: ______________________________________________________________________ 
TELEPHONE NUMBERS: _________________________________________________________________________________ 
PROOF OF OWNERSHIP:                    ☐ DEED                       ☐ LEASES                         ☐ OTHER 
LOCATION OF WORK: ___________________________________________________________________________________ 
PLOT NO.: ______________________________________________________________________________________________ 
ORIGINAL USE OF BUILDING:        ☐ RES                 ☐ COM                 ☐ IND            ☐ OTHER
NUMBER OF STRUCTURES ON PARCEL TO BE DEMOLISHED: _______________________________________________ 
PLANS REQUIRED:  ☐ YES        ☐ NO                       ESTIMATED COST OF DEMOLITION: $ _______________________ 
B.
DESCRIPTION OF BUILDING
1.
OVERALL DIMENSIONS:  ________________________
6. NO. OF STORIES: _____________________________
2.
APPROX. AGE OF BUILDING:  ____________________
7. ABATEMENT REQ’D:   ☐ YES
☐NO
3.
1st FLOOR AREA: ________________________________
8. SIZE OF LOT:_________________________________
4.
TYPE OF ROOFING:  _____________________________
9. TYPE OF WALLS: _____________________________
5.
TYPE OF FLOOR: ________________________________
10. PHOTOS ATTACHED   ☐ YES
☐NO
DISTANCE FROM ADJACENT BUILDINGS: _________________________________________________________________ 
DISTANCE FROM ADJACENT BOUNDARIES: _______________________________________________________________ 
☐PARTIAL DEMOLITION
☐TOTAL DEMOLITION (PHOTOS REQUIRED)
PERSON CONDUCTING DEMOLITION:  ____________________________________________________________________ 
REMARKS: _____________________________________________________________________________________________ 
________________________________________________________________________________________________________ 
________________________________________________________________________________________________________ 
SIGNATURE OF OWNER: ____________________________________________ DATE: ______________________________ 
DEPARTMENTAL USE ONLY 
Date Issued: _____________________ 
☐Permit approved  ☐ Permit disapproved
  ________________________________
    Commissioner or Designee, DPNR    
 _______________________________ 
 Demolition Permit No. 
 ______________________________
 Fee 
SIGN