Pool/Spa Permit Application

FORM – English

    Required Contact Information


    Facility Information

    Email pool results to this location? YesOther

    Describe and name each pool or spa as either a Seasonal OR Year round pool or spa:

    Facility Mailing Information (If different from facility address)

    Certified Pool Operator Information

    Owner Information

    Billing Information

    Send Bill To:
    Third Party (Provide third party information below)

    Permits are non-transferable

    Any change or transfer of ownership will be subject to a plan review to assess code compliance.

    Application Signature

    File Upload

    Please attach a copy of your Certified Pool Operator's training certificate. This document, as well as the fee payment, are necessary to complete your application process

    Max File Size: 2MB

    Or for larger files email directly to jseamons@brhdut.gov

    Click the SEND button only once. It will take just a moment to process your information. You will receive a confirmation email if your submission was successful.