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2. Complete and submit this form to obtain a new address or to submit street or subdivision names for approval.

   If you have questions or would like to speak with a representative, feel free to call our office at (850) 983-1805. Effective 3/1/2020 a $15.00 fee may be assessed for addressing residential lots. Our office accepts cash, check, or credit/debit cards. All card transactions will incur a 3.5% processing fee. Card payment may be made over the phone.

4. Parcel Owner Name*
5. Requestor Name*
7. Current Mailing Address*
8. City*
9. State*
10. Zip*
12. Email*
13. Phone Number*
15. Type of Request*
    -- Select One --New Residential AddressNew Commercial or Utility AddressNew Subdivision RequestName an Easement

    • Please select a type of request to continue the form

17. Parcel Number

    • Double Check your Parcel Number, it should match this format: 26-2N-14-0000-00000-0000
    • Required

18. Parcel Number Info:
    Where to find my parcel number?

    If you do not know your parcel number the link above will take you to the Property Appraiser's map to locate your parcel number.

20. Is the Parcel within City Limits?

    1. Yes
    2. No
    3. Unknown

    • Required

21. City Limit Info:
    GIS Department Webpage

    We do not provide Addressing for parcels within a cities limits. Try contacting one of the below municipalities:

    City of Milton:
    • Phone: (850) 983-5440
    • Email: tim.milstead@ci.milton.fl.us
    
    City of Gulf Breeze:
    • Phone: (850) 934-5108
    
    Town of Jay:
    • Phone: (850) 675-4556

23. Subdivision Name(s)

    • Required

25. Street Name(s)

    • Note, the GIS department will assign suffixes.
    • Please separate by a comma
    • Please list names of streets requested in order of preference
    • Required

26. Parcel Number(s)

    • If you have more than one Parcel number to add, Please separate them by a comma.
    • Double Check your Parcel Numbers, it should match this format: 26-2N-14-0000-00000-0000
    • Required

28. Site Plan Attachment (residential commercial)

    • Please note the distance from each parcel line to the side of the structure on your site plan
    • Please highlight the area where work will be performed
    • Not required, but will help

30. Site Plan Attachment (private shared drive)

    • Please note the distance from each parcel line to the side of the structure on your site plan
    • Required

32. Plat Attachment

    • Required

34. Other pertinent information that will help in assigning the address:
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field