Clay County Address Application
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@co.clay.fl.us

 Adobe pdfAddress Application
1.
Name of Applicant
2.
Phone 1:  (Area Code Included)
 
Phone 2:  (Area Code Included)
  Email Address  
3.
Property Owner Name:
 
Phone 1:  (Area Code Included)
 
Phone 2:  (Area Code Included)
4.
Parcel Number:
5.
If Parcel Number Not Yet Assigned, Parent Parcel:
6:
Subdivision:
7.
Block:
8. Lot:
9.
From Which Road will the Driveway be Accessed?
10.
Special Instructions:  (Include any Special Requirements or Comments.)
11. When New Address is Assigned I will...
Please select from the following:

 Pick Up
 Fax To:   
Mail To:  
Email To:


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.
Email Disclaimer: Please Note- "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."