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The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts.

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Limited Use Wells

Contact the Water Programs

  • 850-245-4240
  • Fax

    850-487-0864
  • Mailing Address

    Bureau of Environmental Health, Water Pograms

    4052 Bald Cypress Way, Bin A-08

    Tallahassee, FL 32399-1710

*Note: This page contains materials in the Portable Document Format (PDF).  The free Adobe Reader (opens in a new window) may be required to view these files.

Also, download a Word Doc viewer (opens in a new window) if you do not have Word.

This program deals with Limited Use Public Water Systems (public water systems which are not covered by the Safe Drinking Water Act), multi-family water systems, and private water systems.  Definitions for these systems and statutory authorization are found in section 381.0062 of the Florida Statutes.  Chapter 64E-8 of the Florida Administrative Cod pdf (opens in new window, pdf <1mb) establishes the rules to implement the statutes.  It includes setback standards for private water systems, construction standards for multi-family water systems, and construction and operation standards for limited use public water systems.  The program is implemented at the local level by the county health departments.

Chapter 64E-8, FAC FORMS

Note: The fee schedules listed in the below applications only reflect the state fees.  There may be additional city and/or county fees. Please contact your local county health department for complete details. All files in PDF and Word Doc format open in a new window:

DH Form 4092A Application for Limited Use Water System Operation- fillable pdf, 92kb
DH Form 4092B Water System Construction Permit Application - fillable pdf, 59kb
DH Form 4094 Water System Variance Application - fillable pdf, 31kb
DH Form 4095 Limited Use Commercial Water System Registration -fillable pdf, 36kb
DH Form 4113 Water System Data Sheet - fillable pdf, 151kb
DH Form 4020 Sanitary Survey & Inspection Report - gif, 206kb

The following are all in Microsoft Word Document format and open in a new window:
DH Form 4092A Application for Limited Use Water System Operation - Word, 64kb
DH Form 4092B Water System Construction Permit Application - Word, 59kb
DH Form 4094 Water System Variance Application - Word, 66kb
DH Form 4095 Limited Use Commercial Water System Registration Word, 62kb