WATER PROGRAMS

• Well Surveillance
• Public Drinking Water Systems
• Limited Use Drinking Water Systems
• Private Wells
• Well Construction Permitting
• Delineated Contamination Areas
• Public Swimming Pool & Bathing
• Beach Water Monitoring

These forms are available for download in a "fill-in" rich text format (rtf).  If you are not familiar with problems that may arise using this type of form, please download the read_me (rtf) (<1mb and opens in new window) file.  We have also made them available in pdf format (all rtfs and pdfs and MS docs are <1mb and open in a new window).

DH form 916 (rtf)*, DH form 916 (pdf)* Application for Swimming Pool Operating Permit

* Special instructions for forms 914-917:  After printing, please photocopy page 2 onto the backside of page 1, creating a 2-sided sheet, before signing. This allows the signature to remain on the same sheet as the information being certified.

DH form 920 (pdf) Public Pool and Bathing Place Inspection Report (not available in rtf)

DH form 921 (rtf), DH form 921 (pdf) Monthly Swimming Pool Report

DH form 1350 (rtf), DH form 1350 (pdf) Public Swimming Pool Engineering Inspection Report

DH form 1704 (rtf), DH form 1704 (pdf) Application for Swimming Pool Exempt Status >32 Units

DH form 4063 (rtf), DH form 4063 (pdf) Application for Annual Renewal or Reissuance of Public Swimming Pool/Bathing Place Operating Permit

DH form 4065 (rtf), DH form 4065 (pdf) Application for Swimming Pool Exempt Status  32 Units or Less

DH form 4080 (rtf), DH form 4080 (pdf) Application for Variance from Chapter 64E-9, F.A.C., Swimming Pools and Bathing Places

DH form 4144 (rtf), DH form 4144 (pdf)  Application for a Swimming Pool Exemption Status Water Therapy Facility
 

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Legacy Pool Rules - We will send you copy of any/all of the following if you send us an

email

1919-1946 Index of Pool Regs 1921 1941 1946 1954 1962

1975 1977 1979 1984 1986 1989 1993-1998-2004

 

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2009 Rule Revision with underlines and strikethroughs, Ch 64E-9, FAC

This public pool and bathing place rule revision was published in the Florida Administrative Weekly as the public hearing version on October 24, 2008.  The hearing was held on December 2, 2008.  A Notice of Change was published April 10, 2009. 

2009 Rule Revision without underlines and strikethroughs, Ch 64E-9, FAC
 

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Ultraviolet Disinfections Guidance Manual for the Final Long Term 2 Enhanced Surface Water Treatment Rule (pdf).

Guidelines for Chemical Feeders (pdf >1mb)

Auto Pool Safety Covers (pdf <1mb)
 

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Pool Permitting Process

1. As of April 30, 2012, all construction plans must be sent to the jursidictional Building Department.

and DH 914 applications, signed and sealed by an engineer registered in Florida, are submitted to the Dept. of Health along with the appropriate review fee.

2. After construction: DH 916s, signed by all listed parties on the back, are submitted to the office that approved the plans, along with the appropriate fee. After a satisfactory inspection, an initial operating permit is issued.

3. Annual permits are issued through the County Health Departments based on the capacity of the pool. The statute that addresses public swimming pools is Florida Statutes 514.

If you have any general questions about permits for public swimming pools, (Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.)
 contact Bob Pryor at the Bureau of Water, HSEW, 4052 Capital Circle SE, BIN A08, Tallahassee, Florida, 32399-1710, (850) 245-4240 x- 2369.