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