Pinal County, AZ · Pinal County

No notary required

Development Services Refund Request Form

Pinal County Development Services uses this form to review refund requests from permit holders or other requestors with project fees.

At a glance

Issued by
City of Pinal County · Pinal County, Pinal County, Arizona
Notarization
Not required: file this form without a notary.
Official source
pinal.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

Use this form to request a refund of Development Services fees for a permit or project. The form notes that refunds may be up to 50% of permit fees, are unavailable after construction begins, and do not include expired permits or completed plan review and zoning fees. It asks for requestor and project details, a reason for the request, and the requestor’s signature and date.

Who needs it

A requestor seeking a refund of eligible Pinal County Development Services fees should complete and sign this form.

How to submit it

Email the completed form to [email protected]. The form lists 85 N. Florence St., Florence, AZ 85132, and P.O. Box 749, Florence, AZ 85132.

About notarization

This form is signed and dated without a notary; it lists no sworn statement or notarized attachment, so the requestor just signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the Development Services Refund Request Form.

  2. 2

    Complete the Request

    Fill in your contact information, record ID or permit number, project title, and reason for requesting a refund.

  3. 3

    Sign and Date

    Sign and date the request. The form does not list any required attachments.

  4. 4

    Email the Form

    Email the completed form to [email protected].

Frequently asked questions

Do I need a notary for the Development Services Refund Request Form?
No. The form calls for the requestor’s signature and date, but does not require a notary or identify a sworn or notarized attachment.
How do I submit the refund request?
Email the completed form to [email protected]. The form also lists the Development Services address in Florence, Arizona.
Can all permit fees be refunded?
The form says Development Services may refund up to 50% of permit fees. It also says refunds are not available after construction begins, or for expired permits and completed plan review and zoning fees.
What information does the form ask for?
It asks for the requestor’s name and contact details, record ID or permit number, project title, reason for the request, and the requestor’s signature and date.

Need something notarized?

This Development Services Refund Request Form doesn’t need a notary, but if you have another Pinal County form that does, a commissioned online notary can help.