Get Application Form (dh4015, Page 1) - Florida Department Of Health - Doh State Fl

Filling out the Application Form (DH4015, Page 1) for the Florida Department of Health is an essential step in obtaining a construction permit for onsite sewage treatment and disposal systems. This guide provides a clear, step-by-step approach to help users complete the form accurately and efficiently.

Follow the steps to complete your application form online.

1. Use the 'Get Form' button to access the application form and open it in your chosen editing tool.
2. Indicate the type of application by selecting one of the following options: 'New System,' 'Repair Existing System,' or 'Abandonment.'
3. Provide the permit number, date paid, fee paid, and receipt number if applicable.
4. Fill out the applicant's details including the applicant's name, telephone number, and mailing address. If you are an authorized agent, provide your information here as well.
5. Complete the property information section by entering details such as block number, lot number, subdivision name, property ID number, and property size.
6. Specify the zoning of the property and indicate whether the water supply is private or public, along with the average gallons per day.
7. Indicate whether sewer is available according to Florida Statutes and provide the distance to the sewer in feet.
8. Provide the property address and detailed directions to the property to help identify the site.
9. In the building information section, identify the type of establishment as either residential or commercial, and specify the number of bedrooms or commercial activity details.
10. Complete any additional information required, including square footage and details about fixtures.
11. Sign and date the application indicating your acknowledgement and submission of the form.
12. Prepare any necessary attachments such as site plans and floor plans as required, and ensure all forms are complete before finalizing.

Complete your application form online today to help expedite the processing of your permit.