JEA - Water & Sewer Availability Request

Water & Sewer Availability


		Availability Request Form

Project Submittal Checklist

Development Coordination

Plan Review

Water & Sewer Construction Permitting

Capacity Fee Calculator

Project Acceptance Checklist

Water, Sewer & Reuse Guidelines

Records and As-Built Requests

Standards

Not Registered?
Sign up here!
Log-In Problems?
Help!

Home > For Your Business > Services & Solutions > Developers > Water & Sewer Availability > Form >

NOTE: * indicates information is required.

Applicant Information

Company Name *

Title	First Name *	Ini.	Last Name *

Mailing Address 1 *

Mailing Address 2

City *

State *

Zip Code *

Phone # *
- - Ext
Cell/Mobile
- -
Fax
-
E-mail address

Subject Property Information

Request Date *

*Service Requested :**
Water	Sewer	Reclaimed
Chilled Water	Electric	Dry Line Extension

County *

Project Name or Address *

Project Location, Cross Street, or Additional RE#’s *

Project Description*

Real-estate # *

Duval Co. Property Appraisers Site: Example: 012345-0000	St. Johns Co. Property Appraisers Site: Example: 069800 0010
Nassau Co. Property Appraisers Site: Example: 25-2N-28-0000-0002-0170	Clay Co. Property Appraisers Site: Example: 069800 0010

Residential	gal. per day	Total Flow (gal. per day)
Apartments	x 250 gal. per Unit	Sub Total:
Multi Family	x 250 gal. per Unit	Sub Total:
Single Family	x 350 gal. per Unit	Sub Total:

Commercial	# of Rooms	gal. per day	Total Flow (gal. per day)
Hotel / Motel		x 100 gal. per Room	Sub Total:
	# of Seats
Restaurant		x 10 gal. per Seat	Sub Total:
	Sq ft.
Office Building		x 0.15 gal. per Sq ft	Sub Total:
Retail Store		x 0.15 gal. per Sq ft	Sub Total:
Shopping Center		x 0.15 gal. per Sq ft	Sub Total:
Warehouse	est. gal. per day		Sub Total:
Industrial	est. gal. per day		Sub Total:
Other	est. gal. per day		Sub Total:
			Total:

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.