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The Florida Department of Health works to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts.
OSTDS Forms
Environmental Health
- 239-690-2100
- LeeEH@flhealth.gov
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Fax
239-690-2101 -
Mailing Address
2295 Victoria Avenue, #206
Fort Myers, FL 33901
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TTY users can contact us through Florida Relay by dialing 7-1-1 or one of the other Relay Toll Free Numbers.
DOH-Lee Forms and Fillable Forms
Credit Card Authorization Form
Application for Abandonment Permit (crush/fill septic tank) (fillable)
Application for Construction Permit (new system, repair, existing, modification) (fillable)
Business Survey (for operating permit) (fillable)
Initial Inspection Request Form
Letter of Authorization for new/repair system applications
Operating Permit Application (fillable)
Variance Application (fillable)
DEP 4015A Notification Form for Selection of Private Provider Inspector
All Other OSTDS Forms:
DH 4012A, Agricultural Use Plan (08/09)
DH 4014, Septic Tank Cleaning Service and Temporary Privy Service Inspection Report (06/98)
DH 4016 (page 1), Construction Permit (08/09)
DH 4016 (page 3), System Repair Certification (08/09)
DH 4081, Application for Onsite Sewage Treatment and Disposal System Operating Permit (includes DH 4081A, Assessment of Waste Handling and Business Activities) (10/96)
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