Online Application

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The address application can be filled out online or downloaded and faxed, mailed, or emailed.  To apply online, complete the form below and hit the submit button.  If you prefer to send in your form, please download the address application below and submit via fax/email/mail to:

Clay County Addressing
PO Box 1366
Green Cove Springs, FL  32043

Fax: (904) 541-5806 
Email: AddressingDept@claycountygov.com

 Adobe-PDF-Document-icon16Download Address Application

 

Please correct the field(s) marked in red below:

1
Name of Applicant
 *
2
Phone Number
 *
3
Property Owner's Name
 *
4
Parcel Number
 *
5
Please describe the location and description of what is being addressed
 *
6
Email Address to Send Letter to:
  1. To receive a copy of your submission, please fill out your email address below and submit.
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    NOTE: ASSIGNMENT OF ADDRESS DOES NOT GUARANTEE PERMIT APPROVAL


    Please complete this form as completely as possible.  Note that some address assignments may require an on-site visit by County addressing personnel.   In the event that this assignment creates the need to name a private easement, all property owners along the easement will be notified and given the opportunity to participate in the naming process.  This will affect the assignment completion time.  If you have any questions, call (904) 278-3781.