Revised: 12/29/2020
Application Date:
Permit No:
Site Information
Site Address:
Legal
Description
(office use only)
PIN:
Lot Number:
Subdivision:
Zoning:
Owner Information
Name:
City:
State:
Email Address:
Phone Number:
Zip:
Contractor Information
Name (Contact Person):
Business License:
City:
State:
Email Address:
Phone Number:
Zip:
Project Information
Deck (ground-level)
Deck (elevated)
Patio
Dimensions:
by
=
sq. ft.
Will the finished project (check all that apply)
Connect to a main doorway?
Yes
No
Provide disabled access?
Yes
No
Include stairs or a ramp?
Yes
No
Be covered?
Yes
No
Require electrical?
Yes
No
Require plumbing?
Yes
No
Project Description:
By signing this application form, I hereby acknowledge that the information I have provided is complete and accurate to the best of my
knowledge. Furthermore, I acknowledge my responsibility to conform to the applicable federal, state and local regulations pertaining to
the project described by this application and attachments. I also understand that this application will expire within 180 days of the date
of my signing, unless extended in writing by the Building Official.
Date:
Name (please print):
Signature:
BUILDS Department
Phone: (417) 732-3150
Email: permits@republicmo.com
Building Permit Application
Deck or Patio
click to sign
signature
click to edit
Revised 02/16/2018
DECK OR PATIO BUILDING PERMIT INSTRUCTIONS
Site Plan: The Applicant must provide a Site Plan indicating the location of the Deck or Patio in
relation to Setbacks (property lines) and existing structures.
_ Site Plan (or) GIS Aerial Photo
Show existing house, existing deck(s), and existing accessory buildings
Show location of proposed deck or patio