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 the
appropriat
e selection)
Note: attached/detached
does not refer to garage. See
reverse side for explanation.
Single Family
(attached)
Single Family
(detached)
Two Family
Addition
Number of Stories:
Number of Bedrooms:
Number of Bathrooms:
Overall Height:
Total Square Footage(s):
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:
Community Development Department
Phone: (417) 732-3150
Email: permits@republicmo.com
Building Permit Application
New Residential Building/Addition
Project Valuation:
click to sign
signature
click to edit
Revised 12/29/2020
RESIDENTIAL BUILDING PERMIT INSTRUCTION PACKET
Please include the following documents with the Residential Building Permit Application:
Foundation Plan
Floor Plan(s) labeling the use of each
room, and the location of fixtures,
windows, and doors
Roof Plan
Site Plan clearly depicting:
_ Directional arrow showing North
_ Location and dimensions of front,
side, and rear yard setbacks to the
nearest drip edge, which accounts
for any overhangs, of the
structure. Dimension the drip
edge, itself
_ Location, size, and shape of all
existing and proposed structures
_ Location and dimensions of all
parking areas and driveways
_ Location of any easements,
floodplains, or other pertinent natural features
Appli
cation Form Instructions:
Identify the type of structure proposed for construction:
o Single Family Detached: One (1) dwelling unit on one (1) lot,
separated from all other structures
o Single Family Attached: Two (2) dwelling units on two (2)
l
ots, sharing a common wall (Note: wall must be of fire
resistant construction, and labeled as such on plans)
Ø R1-Z zoning district only.
o Two Family: Two (2) dwelling units on one (1) lot
Ø R-2 zoning district only.
o Addition: An increase in the floor area to any of the above
structure types
Example of Drip Edge