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):
Name (Company):
Business License:
City:
State:
Email Address:
Phone Number:
Zip:
Project Information
(please mark those
that apply)
Mechanical
Electrical
Plumbing
Dimensions:
x
=
sq. ft
Overall Height:
ft.
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
Residential Remodel/Mechanical, Electric, and Plumbing
Valuation:
$
click to sign
signature
click to edit
Revised on 12/29/2020
RESIDENTIAL REMODEL PERMIT INSTRUCTION PACKET
Please include one or more Floor Plan(s) when submitting the Residential Remodel Permit Application:
Applicant must submit a Floor Plan for the project to the Community Development Department
_ Label function of each room (bedroom, bathroom, etc.)
_ Label the dimensions of each room or space
_ Label fixtures (sinks, electrical outlets, air conditioning ducts, etc.)
_ Label existing walls and/or features to be removed and any new walls and/or features to be
built or installed
Guidelines for application submission:
Describe the project and include any changes in the function of a room, additional fixtures or
features, and any new rooms or spaces added
Identify which of the following are included in the proposed work:
Mechanical: Changes to heating, ventilation, air conditioning
Electrical: Changes to lights, outlets, receptacles, etc.
Plumbing: Changes to sinks, toilets, water supply, drains, etc.