Fillable Owner Information Site Information Swimming Pool Description BUILDS (City of Republic, Missouri)

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Owner Information Site Information Swimming Pool Description BUILDS (City of Republic, Missouri)

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U.S.A. forms for City of Republic, Missouri

BROWSE CITY OF REPUBLIC, MISSOURI (MO) FORMS

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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
Type of Project to be installed
(Please mark appropriate selection):
Above-Ground In-Ground
Connections to be made
(Please mark any selections that apply):
Electrical Plumbing
Please mark the appropriate selections below:
Project fencing will be:
New
Existing
Lockable gate will be :
If both fencing and lockable gate are existing record their overall height:
ft.
Dimensions
(Include deck and pavement):
x
=
sq. ft.
Overall Depth:
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
Swimming Pool
click to sign
signature
click to edit
Revised 12/29/20
SWIMMING POOL PERMIT INSTRUCTION PACKET
The term Swimming Pool, as defined in this application, refers to any pool with a depth of over twenty-
four (24) inches; this includes in-ground, on-ground, above ground, and/or storable pools.
P
lease include with the following document with the
Swimming Pool Permit Application:
Site Plan: The Applicant must provide a Site Plan indicating the location of the Swimming Pool in
relation to Setbacks (property lines) and existing Buildings.
_ Site Plan (or) GIS Aerial Photo
Pool Separation Requirements:
_ Separation Between Building(s): Minimum of five (5) feet
_ Separation From Property Lines: Swimming Pool must meet minimum setback limits
dependent upon associated parcel
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Owner Information Site Information Swimming Pool Description BUILDS (City of Republic, Missouri)

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Completed 28 May 2021

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