Forms

Building Department

Affidavits


Affidavit of Assurances
Affidavit of Exemption from Kentucky Workers' Compensation Act
(Corporation or Partnership)
Affidavit of Exemption from Kentucky Workers' Compensation Act
(Individual)

Building


Accessory Structure Restrictions
Building Cross Section
Building Permit Application - Commercial
Building Permit Application - Residential
   

Electric


Electrical Permit Application
Five-Day Letter
Homeowners Waiver

HVAC


HVAC Commercial Application
HVAC Residential Application
Swimming Pool Enclosure Requirements
   
 

Other


Demolition
Fire Detection Permit Application
Fire Suppression Permit Application
Fireworks (Consumer Sales) Permit Application
Portable Storage Unit or Dumpster Permit Application
Sign Ordinance
Sign Permit Application
Special Festival Permit Application
  
Code Enforcement
Special Situation Permit  
   
City Clerk / Treasurer
Open Records Request  Vendor Application Form
   
Economic Development
Property Tax Reassessment Moratorium Application  
   
Farmers Market  
2019 Farmers Market Application  
   
Parks & Recreation
2019 Plainview Swim Center Season Pass Application 
 

Planning & Zoning
2004 Land and Development Code
          Sign Ordinance No. 1352, Series 2016		 Fee Schedule 
Appeal Application and Checklist General Waiver Application
Conditional Use Permit Pre-Application
 Nonconforming Rights Application
Conditional Use Permit Application and Checklist
 Variance Application and Checklist
Development Plan Submittal Requirements         Sample Variance Request Form
Development Review Application
  Zoning Confirmation Application
   

Police Department


  
Business  Alarm Registration Form  Residential Alarm Registration Form
   
Public Works  
Public Right-of-Way (Work Within) Application (Encroachment) Rules and Regulations Governing Objects to be Placed in the Right-of-Way
Residential Driveway / Connection Application Objects in the Right-of-Way Permit Application
  Objects in the Right-of-Way Maintenance Agreement
 
Rental Facilities
The Jeffersonian Rental Agreement     Tway House - Plainview
The Jeffersonian Set Up Request Form - Kentucky Room Veteran's Park Pavilion Rental Agreement
The Jeffersonian Set up Request Form - Watterson and/or Jefferson Room
 

Revenue / Tax Department - These forms necessary to ensure timely processing.
Business License Registration Form B - Annual Tax Refund Application
Quarterly Occupational Withholding Tax Return Tax Ordinance No. 1233, Series 2008
Annual Reconciliation Return Understanding Your City of Jeffersontown Property Tax
Form A - Quarterly Tax Refund Application