Personal Services Permit Application InstructionsFor new, unpermitted personal personal service facilities, the plan review process is required before permitting. Please submit this application, floor plans, and other supporting documents, along with a $40 plan review fee. Submit plan review packet by email, fax, mail, or in-person. Payments: Submit check or money order by mail or in-person. Make payable to Norfolk Department of Public Health. Call the Environmental Health Office at 757-683-2712 to pay by credit card. For Annual permit renewal of currently permitted personal service establishments, please complete and submit this application via email, fax, mail, or in-person. Note: there is no annual permit fee for personal services establishments, except for those offering permanent make-up services, which requires submission of a separate tattoo application and fee payment. Note: We are unable to process incomplete applications. Additionally, licensures required by other agencies or board, such as Department of Professional and Occupational Regulation - DPOR, or the Board of Nursing (massage therapists), must be obtained by the applicant prior to the health department permitting.Application TypeSelect One Category: New Permit Renewal Name Change Change-of-Owner Type of Facility/Services ProvidedCategories Cosmetology Barbering Nail Care Wax Care Esthetics (Skin Care) Tanning Health Parlor (Massage/Massage Therapy) Permanent Make Up (requires a Tattoo Parlor Application) Electrology Other (Please Specify) Establishment InformationEstablishment Name:Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneFax NumberEmail Website Owner Information Individual Owner Corporation Partnership Other If Other, please specify:Corporation/LLC or Owner Name:Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneEmail Billing Information (if different from above)Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneEmail On-site Manager(s), District, or Regional ContactsNameTitlePhoneEmail NameTitlePhoneEmail NameTitlePhoneEmail Hours of OperationMonday Open:Monday Close:Tuesday Open:Tuesday Close:Wednesday Open:Wednesday Close:Thursday Open:Thursday Close:Friday Open:Friday Close:Saturday Open:Saturday Close:Sunday Open:Sunday Close:Other InformationDPOR Shop License #:DPOR Individual/Professional License #:Massage Therapist (Board of Nursing) License #: (Please provide copy of appropriate license)Refuse Disposal: City Private Waste Company (health department dumpster permit required) CertificationBy signing below, I attest to the accuracy of the information provided. I agree that I will comply with City of Norfolk Code of Ordinances, Chapter 7 (Barbering and Beauty Culture) or Chapter 21 (Health Parlor Ordinance) as required by scope of service offered and will allow the regulatory authority access to the establishment.Name:(Required)TitlePhoneDate(Required) MM slash DD slash YYYY Information provided in this application may be subject to disclosure under the Freedom of Information Act (FOIA). Last Updated: April 24, 2025