GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES

GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION FORM L&WD-2 PERMIT APPLICATION Date Received: Date Declared Complete: Permit No. Application is hereby made for a Earth Change/Coastal Zone Permit I. Name, mailing address and telephone number of applicant. &real' 54.3104, L LC Row\ I +Podr„6 FreRes;tonei 501 letinci cios e.stecke mASI 42. 1 oi) e(-TIocolcav6, V I oc7c60/ V540)' 2-525 2. Name, title, mailing address and telephone number of owner of property and of developer. Qcaner Developer tr% j\1 _A cd • rt. 1 t 4_1 3. tatigt)of XlaY. fAt o. Ro, with0day G- I Estate CoCP4 &L oivon, CAI( Island 6k- 11.4ovvva6 4. Zoning District R-1 5. Name, mailing address and telephone number of project designer. OkAn WCSSI)ickroain,A DP‘ vi Cti lif P-0_ box fatt -IVoyooeS) VI 004354' (4)40 ...1-11•JkARD 6. Name, mailing address and telephone number of principal earthwork contractor. 7. Summary of proposed activity. Include all incidental improvements such as utilities, roads,stc. (Use additional sheets if necessary). Peli &tit+ A :fa vt x) Cour+ Gto raciQ. ER21 I l •4_3 7a. State type of Land Uses as specified in the VI Zoning Law, which are applied for e.g., restaurant, hotel, single dwelling, etc. 5 oble dwell ivi5 41 4 ccez,sr,r 1/4( 4-k-r ch.% Kit EFTA00613749 FORM L&WD-2/PERMIT APPLICATION CONT'D 8. Date activity is proposed to start ee.,e-t. SDI, be completed -3 Cln 9. Classification of minor or major permit. Check one: EMinor Permit Application ElMajor Permit Application State below which criterion applies in making above check. Re ,ii AQr-ri-io, I Coy, 6-h-oth 10. Application is hereby made for a permit to authorize the activities described herein. I agree to provide any additional information/data that may be necessary to provide reasonable assurance or evidence to show that the proposed project will comply with the applicable territorial water quality standards or other environmental protection standards both during construction and after the project is completed. I also agree to provide entry to the project site for inspectors from the environmental protection agencies for the purpose of making inspection regarding this applicaton and that to the best of my knowledge and belief, that such information provided herein, is true, complete and accurate. I further cenify that I possess the authority to undertake the proposed activities. Signature of Applicant or Agent Signature of Owner (Where Applicant or AgriRis not er) Date FOR DEPARTMENT USE ONLY Inspector Record Date Inspected: ( )Permit Approved ( )Permit Disapproved Inspector's Remarks: Inspector Date Commissioner, Planning & Natural Resources Date EFTA00613750 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION FORM L&WD-3 ZONING REQUIREMENTS TABLE The following table shall be completed by the applicant with entries as appropriate for the zoning district in which the activity is taking place. Not all the requirements will necessarily apply to a particular zone. Consult the Zoning l.aw. For your guidance also consult the Zoning Requirement Matrix attached to the application forms, i.e., fora R-2 zone only items I through I I will apply. Applicants Name: Gre4 et- *tlevii...-LC- Signature: Location of Activity-Plot No. geirirAin G. (Estate Eirp,si_CE tafrAisland -34*-110/061 Date: 7/1/ /17 ern Zoning District: t 1. Proposed use (residential etc.) a vie be rienc,,A6 Cr. ekop, 2. Accessory use if any TervIls (Por- 3 6-to .. V t I A i il5 3. Number of on site parking spaces Existing d proposed ra 4. Area of lot, (sq. ft. or acreage) 2-C9 .61 A C.f 5. Area covered by proposed and existing buildings, (sq. ft.) 3 ) In° 6. Setback of building from street property line, (ft.) '7 S F 7. Side yard setback (ft) MC e, TN AA io0E-f_ 8. Rear yard setback (ft) tO 9. Height of building (ft. or stories depending on zone) O ne tholr) No sit tr I e5 10. Proposed: C2Y1e bkof y I I. Lot width at street line (ft.) 2.10N et 12. Area of usable open space (sq. ft. and (%) of lot C.&, 56 14 SP or CH .1 Vo 13. Persons per acre ratio N A - 14. Floor area ratio 15. Number of onsite parking and loading spaces 3 16. Building setback (yards I I, W-2 only) FOR DEPARTMENT USE ONLY Inspector: Date: Permit No. EFTA00613751 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES DEPARTMENT OF PLANNING AND NATURAL RESOURCES DEVELOPMENT PERMIT APPLICATION FORM L&WD-5 PROOF OF LEGAL INTEREST AFFIDAVIT 1, -3 e-V-Vce-y thelo being duly sworn depose and say that: Nanie 1. I am the (check one) Record title owner (fee simple) D.essee O0ther (specify) 11 of the real property described as Parcel No(s) gexAc1/41 nce_c- Estate ret-lk Quarter Q7A e kAar, Island Si \ A Cr YY1O15 2. 1 have the irrevocable approvals, permission, or power of attorney from all other persons with a leg rest in the property to undertake the work proposed in the permit application as more ful orth in the e (s) attached hereto: 20 1 q- bydEFFKFY EFSTEN at ST•THOM6,S county of The foregoing instrument was acknowledged before me this 11-TH day of ILI. IturiziaJahobs. Drr,<±fri fe- 24 2011- Notary Public My Commission expires DAPHNE L. WALLACE Notary Public NP-105-13 St.ThomosiSt. Joon, USVI District My Commission Expires Dec. 21.2017 EFTA00613752 GOVERNMENT OF THE U.S. VIRGIN ISLANDS BUREAU OF INTERNAL REVENUE 6115 EST. SMITH BAY- 7/06/2017 4008 ESTATE DIAMOND - PLOT 7-B ST. CHRISTIANSTED, VI 00820 Tel: Tel: Fax: Fax: GREAT ST. JIM, LLC 9053 ESTATE THOMAS SUITE 101 ST THOMAS, VI 00802-0000 Dear Taxpayer: Business EIN: 660848875 RE: CZM Please Submit This Letter To Your CZM Authority This is in response to your application of 6/28/2017 in which you requested a letter of clearance for a Costal Zone Management Permit pursuant to Title 12, V. I. Code, Section 910 (a) (c). Based on the information in our files, we find that you are current in the filing and payment of your tax obligation. This Certification is for Costal Zone Permit purposes only and does not absolve you of any subsequent revelation of tax obligation past or future. EFTA00613753 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES -O- CHARLOTTE AMALIF., ST. THOMAS, VI 00802 OFFICE OF THE LIEUTENANT GOVERNOR CERTIFICATE OF EXISTENCE To Whom These Presents Shall Come: 1, OSBERT E. POTTER, Lieutenant Governor of the Virgin Islands, do hereby certify: That GREAT ST. JIM, EEC filed Articles of Organization with the Office of the Lieutenant Governor on OCTOBER 26, 2015 and the Company is duly organized under the laws of the United States Virgin Islands; That the duration of this Limited Liability Company is perpetual; That the company has paid all applicable fees to date; and That Articles of Termination have not been filed by the company. In Witness Whereof, I have hereunto set my hand and affix the seal of the Government of the United States Virgin Islands, at Charlotte Amalie, this 5th day of July, A.D. 2017. OSBERT E. POTTER Lieutenant Governor of the Virgin Islands EFTA00613754 tra4n44421V GOVERNMENT OF 114E UNITED STATES VIRGIN ISLANDS OFFICE OF THE LIEUTENANT GOVERNOR DIVISION OF REAL PROPERTY TAX 1105 Meg SI,W • Chnsnonshxd. Vow Won°. 00820 • 140 773 6449 • Fox 340 773.0330 18 Kongens Gods • Cho/lone Arnohe. Vitgia Islands 00602 • 340 774 2991 • Fox U0.7746963 REAL PROPERTY TAX CLEARANCE LETTER TO: Recorder Of Deeds FROM: Office of the Tax Collector In accordance with Title 28, Section 121, as amended, this shall certify that there are no outstanding Real Property Tax obligations for the following: PARCEL NUMBER 1-09801-0103-00 LEGAL DESCRIPTION C-1 &C-2 GREAT ST JAMES ISLAND No.6A RED HOOK QTR. OWNER'S NAME GSJ PROPERTIES CORP Taxes have been researched up to and including 2016 CERTIFIED TRUE AND CORRECT BY WDENCE ROMNEY TAX COLLECTOR °CA_ terJRE 6/28/2017 DATE EFTA00613755 (rem LigW0-1)1:01106 Flood Plain Determination and Permit Application To be completed by all applicants 1. Owner: da An, .1./.0 rt 2. Mailing AddressNac ilaraia\11 01. NOM Tel. N: Business Tel. a: W1O-"17S:O.5.2.S Cellular s• b y ort:02, Designer: c.\11O sP— LADD CA ye r}icAvi De 4,150 roof (Ac. I: 431A Tel. #(4O,-in• 00 Cellular N:340 • Sit-lb 3. Plot 0: P..k. KV:\ C- Esute:(-O"4 (ik .t.cxereb (.1 Qtarter c,A ed tic° lc Flood Zone Designation: X U your flood zone designation Is Zone A, AE, AO, Al-30, A99, V, VO, Ye or VI-V30 as shown oa the NEW FIRM Map, then complete this section NFIP Flood Zone Designation i. Type of development: I or 2 Family dwelling. Mobile Home O Non-Structural O 3 Family or more, Apartment or Condo Structure O Noo• Residential Structure: Commercial Structure O New Construction O Nock-Structural O Addition to Structure O 50% Substantial Improvement of Existing Structure O Description of Activity R.2.41kek2.(1* iCt rerliCVS "Ann it, v epu--\ \AN -‘,45JJ x`11 2. Base Flood Elevation at the Development Site is N R. above mean sea level (mu) . 3. Elevation of the First Floor Basement or Flood proof level for proposed structure is U. A. 4. Describe the Nod:Structural Activity i.e. septic tank, waste water treatment plants etc. (including the location and development): 5. Attach a certified copy of site plan (8.5" x II" ) showing Base Rood Elevation . See sample attached. FOR OFFICE USE ONLY Is the property located la an Identified Flood Hazard Anal ) YES ( ) NO NFIP Zone Designation: Forward to Flood Plain Manager : ( ) YES ( ) NO Application : APPROVED ( ) DENIED ( ) RESUBMIT ( ) Plan Reviewer Name: Signature: Date: EFTA00613756