Pool/Spa Permit Application

FORM – English

    Required Contact Information


    Facility Information

    Send pool sample results to this location? Yes Other

    Describe or name each pool or spa associated with this facility or business: (example: men’s spa, splash pool, lap pool)

    Facility Mailing Information (If different from facility address)

    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 bharker@brhd.org

    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.