Buckeye, AZ · Maricopa County
Permit Cancellation and Request for Refund
Buckeye permittees use this form to request cancellation of a building permit or application and a refund of eligible fees.
What this form is
The form authorizes cancellation of a building permit or application and requests a refund under the refund rules printed on the page. It asks for the project address, permit number, issue date, refund return details, phone number, reason for cancellation, signature, and request date. The form states that refund eligibility depends on factors including whether work or inspections have occurred and when the written request is filed.
Who needs it
The original permittee who wants to cancel a building permit or application and request a refund uses this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This request is signed and dated without a notary; the form lists no notarized attachment or related step.
How to submit this form
- 1
Download The Form
Download the Permit Cancellation and Request for Refund form.
- 2
Complete The Form
Enter the project and permit details, refund return information, phone number, and detailed reason for cancellation.
- 3
Sign And Date
Sign the request and enter the date of the request.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Permit Cancellation and Request for Refund form do?
- It authorizes cancellation of a building permit or application and requests a refund of fees allowed under the refund rules printed on the form.
- What information does the form ask for?
- It asks for the project address, permit number, issue date, refund return details, phone number, detailed reason for cancellation, signature, and request date.
- Do I need a notary for the Permit Cancellation and Request for Refund form?
- No. The form is signed and dated without a notary, and it lists no notarized attachment or related step.
- How do I submit the Permit Cancellation and Request for Refund form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Permit Cancellation and Request for Refund doesn’t need a notary — but if you have another Buckeye form that does, a commissioned online notary can help.