Service Availability Form

Service Availability Letters help customers and developers to determine whether or not JEA is the correct utility provider for their home or business. Once the form below has been submitted, a letter will be provided with an expiration date of two years from the date it was issued and will include potential points of connection to JEA’s system, as well as a tracking number (JEA Availability Number). Service Availability Letters may take up to 10 business days from the date of your request. Organizations requesting more than five Service Availability Letters, please allow 15 business days from date of your request.

Applicant Information

*Company Name *Applicant's Full Name *Mailing Address

*City *State *Zip Code

*Email *Phone Fax

Subject Property Information

*Service Requested
*County

*Project Name *Project Location, Address, Cross Street, or Additional References *Project Description

*Real Estate Number

Example Real Estate Numbers:
Duval County: 012345-0000
Nassau County: 25-2N-28-0000-0002-0170
St. Johns County: 069800 0010
Clay County: 069800 0010

Find your Real Estate Number:
Duval County Property Appraiser
Nassau County Property Appraiser
St. Johns County Property Appraiser
Clay County Property Appraiser

COMMERCIAL

RESIDENTIAL

Commercial

	Number of Rooms	Gallons per Unit	Total Flow
Hotel / Motel:		x 100 gallons	Subtotal:

	Number of Seats	Gallons per Seat	Total Flow
Restaurant:		x 40 gallons	Subtotal:

	Gallons per Square Feet	Total Flow
Office Building:	x 0.15 gallons	Subtotal:
Retail Store:	x 0.15 gallons	Subtotal:
Shopping Center:	x 0.15 gallons	Subtotal:

	Gallons per Day	Total Flow
Warehouse:	estimated gallon(s)	Subtotal:
Industrial:	estimated gallon(s)	Subtotal:
Other:	estimated gallon(s)	Subtotal:
Note: The "other" field should only be used when there is not a corresponding unit type found.
Sub Total:

Residential

	Gallon per Unit	Total Flow
Apartments:	x 250 gallons	Subtotal:
Multi-Family:	x 250 gallons	Subtotal:
Single Family:	x 350 gallons	Subtotal:
Sub Total:

Total: