Forms

Building Department

Building


Accessory Structure Restrictions
Affidavit of Assurances
Affidavit of Exemption form Kentucky Workers' Comp Act
(Corporate or Partnership)
Affidavit of Exemption form Kentucky Workers' Comp Act
Individual
Building Cross Section
Building Permit Application- Commercial
Building Permit Application - Residential

HVAC


HVAC Commercial Application
HVAC Residential Application
Swimming Pool Enclosure Requirements
   

Electric


Commercial Electrical Permit
Residential Electrical Permit
Five-Day Letter
Homeowners Waiver

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  
2021 Farmers Market Application  
   
Parks & Recreation
2021 Plainview Swim Center Season Pass Application  (Payment can be made at the gate.)
 

Planning & Zoning
2021 Land and Development Code 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 Zoning Confirmation Application
Development Review Application
  
   

Police Department


  
Business  Alarm Application Permit Form  Residential Alarm Permit 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 - Watterson and/or Jefferson Room

 Veteran's Park Pavilion Rental Agreement


 

Revenue / Tax Department
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