Applicant Information

Name (First Middle Last)* Required
Address* Required Required
City* Required State* Enter a Valid US State Required Required Zip* Required Minimum 5 characters required. Required
Primary Phone* Required Email* Please enter a valid e-mail address. Required

Business Information (location for which license is desired)

Attention Required
Business Physical Address
(Please include unit/suite number. PO Box's will not be accepted for physical address) * PO Boxes are not allowed Required
City* Required State* Enter a Valid US State Required Zip* Minimum 5 characters required. Required Business Phone* Minimum 10 digit phone required. Required

Mailing Address * Required

Pool Manager Information

Pool Manager* Required
Primary Phone* Required Minimum 10 digit phone required. Email Please enter a valid e-mail address. Required
I confirm the pool manager is at least 18 years of age.

Pool Information

Pool Address* PO Boxes are not allowed Required
City* Required State* Enter a Valid US State Required Zip* Minimum 5 characters required. Required

List the number of each below:

License Fees
Fee Type	Annual	Seasonal
1st Feature Fee	$200	$125
Additional Feature Fee	$100	$50
Seasonal License: Applies to swimming pools, wading pools, spa pools, or other recreational water features that are open six (6) or fewer months each year.

Annual Licenses* Required Required Seasonal Licenses* Required Required
Indoor Swimming Pools* Required Required Outdoor Swimming Pools* Required Required Indoor Wading Pools* Required Required Outdoor Wading Pools* Required Required Indoor Spa Pools* Required Required Outdoor Spa Pools* Required Required
Indoor Recreational Water Features* Required Required Outdoor Recreational Water Features* Required Required
Total number of pools does not match number of licenses.

Total due:

Property Owner Email* Please, enter valid e-mail address. Required Hilton Head Island business start date* Required

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