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 PBCHD Organizational Chart
(*.pdf)

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Environmental Health & Engineering Permitting Forms

About Publication Forms

The forms below are used in our office.   They are listed by category. If you don't see the form you need call (561) 355-3070. 

The following documents are available for downloading in pdf (requires Adobe Acrobat Reader Software). There are also some PowerPoint files.

  • Download a free copy of Adobe Acrobat Reader software

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Note: links for all pdfs open in a new window

 

Air Quality

Application for Air Permit
  • dep62_210_900-1.pdf  pdf
    Application : for Air Permit – Long Form
    (all Title V air operation permit applications; concurrent processing of air construction permit application and revised/renewal Title V air operation permit application; initial FESOP applications; air construction permit applications for a proposed project: 1) subject to PSD review, NAA-NSR review, MACT review, 2) where applicant proposes to assume a restriction on the potential emissions of one or more pollutants to escape a federal program requirement, 3) at an existing FESOP or Title V permitted facility.)
    Electronic Permit Application Form

     
  • dep62_210_900-3.pdf  pdf
    Application : Application for Air Permit - Non Title V Source.
    (For Non Title V sources: all air construction permit applications and all initial air operation permit applications, including FESOP)
    Electronic Permit Application Form

     
  • dep62_210_900-4.pdf  pdf
    Application : for Non Title V Air Permit Renewal.
     

Asbestos Notification

Open Burning Forms
  • 62_256_7005a.pdf   pdf
    Application for: Fire departments requesting to burn a
    building/structure for
    training purposes.
     
  • pbchd-ob_land_clearing.pdf  pdf
    Application :
    is required for the initial clearing of
    vegetation in connection with building
    construction or initial clearing of vegetation
    to enhance property
    .
     
  • pbchd-ob_residential.pdf  pdf
    Application :
    is required for the initial clearing of
    vegetation on a parcel consisting of not more
    than two dwelling units.

     
  • pbchd-ob_wavier.pdf  pdf
    shall be submitted when an open burn  site fails to
    meet the required setbacks set forth in the applications.


 Air Quality Dept - Org Chart

Application/Forms  Prefix & Terms explained:

Prefix
-
dep - (Department of Environmental Protection)
- pbchd - Palm Beach County Health Dept. Forms
- doh  - State of Florida Florida Department of Health Forms
- der  - (Department of Environmental Regulation)

Terms
  n/a

PERMIT FORMS

pdfPublic Water Supply and Wastewater Systems
FORMS

pdfSeptic Tanks (OSTDS) and Private Drinking Water Wells FORMS

pdfSolid, Hazardous & Biomedical Waste Control

pdfPublic Swimming Pools
FORMS

pdfChild Care FORMS

pdfBody Piercing FORMS

pdfAir Quality


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Click for Health Department Publications Available Online!!

Palm Beach County Health Department  - www.pbchd.com Florida Dept. of Health (DOH) - www.doh.state.fl.us - opens a new window
        http://www.pbchd.com/                        http://www.doh.state.fl.us/

MyFlorida.com - www.myflorida.com - opens a new window  Automated Community Connection to Economic Self-Sufficiency   Welcome to the Florida Community Health Assessment Resource Tool Set (CHARTS).  It is our hope that you will find Florida CHARTS informative and easy to use. This site includes such health statistics as births, deaths, disease morbidity, population and behavioral risk factors. - opens a new window  Jobs within the State of Florida - State Job Search - opens a new window

Florida Health Stat - opens a new window   The Agency for Health Care Administration - opens a new window

http://www.floridakidcare.org/ - opens in new window The Health Care District has launched a new program called Vitahealth.  This is a low cost policy for residents of Palm Beach County who have no health insurance coverage or have lost their coverage for over 6 months.  Details are available by calling 866-930-0035 or on the web at www.vitahealth.org

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P.O. Box  29  .  West Palm Beach, FL 33402   .   (561) 840-4500