AUTHORITY: Chapter 514.031, Florida Statutes and 64E-9 Florida Administrative Code.
Verification
All order information is subject to verification by Broward County Health Department no later than the end of the next business day. You will be notified by the health department if discrepancies are noted.
Contact Information
The best way to contact the Broward County Health Department is to call 954.467.4837 or 954.847.3599 week days between 8:00AM and 5:00PM, or send an email to chd06ehe@doh.state.fl.us.
Service Fee
Customers of this site will be charged $6.00 or 4%, whichever is greater by VitalChek.
The undersigned owner/owner's representative, hereby agrees to operate the establishment described in the requirements of Chapter 514, Florida Statutes, and Chapter 64E-09, Florida Administrative Code. The information contained in this application, which serves as the basis for licensure, is true and correct. I understand that any misrepresentation of the facts in this application, or failure to comply with sanitary standards, is grounds for denial or revocation of the operating permit.
Sign by typing your full name below
Permit Information
Operating Permit Number:
-
-
Required
Name of Facility:
Required
Address:
Required
City:
Required
State:
--
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Required
ZIP Code:
Required
Pool Permit Fee:
$50.00
$125.00
$250.00
Required
Board Ordered Fee:
(if applicable)
NOTE: Permits will not be mailed until outstanding fees have been paid.
Owner's Information
Check here if any owner information has changed
Name:
Required
Address:
Required
City:
Required
State:
--
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Required
ZIP Code:
Required
Owner's Phone:
Required
Business Phone:
Required
Contact Person/Agent:
Required
Contact Person/Agent Phone:
Required
For information regarding multiple permit renewals
click here
Home
Payment Options
Our Difference
Agency Partners
Contact Us
Terms & Conditions
Privacy Policy
Copyright © 2009
LexisNexis Risk Solutions. All rights reserved.