Jeffersontown, KY · Jefferson County

Homeowner’s HVAC Waiver

This waiver lets a Jeffersontown homeowner attest to property occupancy and HVAC work performed by the homeowner when seeking to handle HVAC work at the property.

Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

This waiver lets a homeowner or agent attest to property occupancy, HVAC work performed by the homeowner, and responsibilities related to code compliance and inspections. Jeffersontown’s form is for homeowners seeking to handle HVAC work at their property under the waiver. The owner or agent signs the sworn statement and must obtain required inspections, including a final inspection.

Who needs it

A homeowner or agent seeking to use Jeffersontown’s waiver for HVAC work at the property should complete and sign this form.

Why it needs a notary

The form includes a sworn and subscribed-before-me jurat; the homeowner or agent named in the statement signs before the notary.

How to get this notarized

  1. 1

    Download the Waiver

    Get the Homeowner’s HVAC Waiver from the City of Jeffersontown.

  2. 2

    Complete the Form

    Enter the property address and related permit information, then review the homeowner or agent statement.

  3. 3

    Book an Online Notary

    Schedule a video appointment with a commissioned online notary.

  4. 4

    Sign on Video

    Sign the sworn statement during the appointment so the notary can complete the jurat.

  5. 5

    Submit to the City

    Send the notarized waiver to the City of Jeffersontown as part of your permit process.

Preview the form

The blank PDF straight from Jeffersontown. Look it over, then upload your filled copy to start the notary session.

Open in new tab
Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I get the Homeowner’s HVAC Waiver notarized?
Complete the form, then sign the homeowner or agent statement during a video appointment with a commissioned online notary. Submit the notarized waiver to the city.
Do I need to sign the waiver in front of a notary?
Yes. The form includes a sworn and subscribed-before-me jurat for the homeowner or agent, so sign in the notary’s presence.
Can I use an online notary for this form?
Kentucky provides for online notary public registration under KRS 423.355, and recognizes certain notarial acts performed by authorized officers of another state under KRS 423.345 and KRS 423.110. Confirm the city will accept your completed form.
What should I do if I’m unsure where to submit the waiver?
The form is from Jeffersontown’s Department of Permitting and Enforcement. Confirm with the city or county clerk if unsure.

Ready to notarize your Homeowner’s HVAC Waiver?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.