Service Availability Form

Request a service availability letter to determine whether or not JEA is the correct utility provider for the home or business. The letter will be provided with an expiration date of one (1) year from the written date and will include potential points of connection to JEA’s system and a tracking number (JEA availability number).

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: