Jerome, AZ · Yavapai County

No notary required

Building Permit Extension Request

Building permit holders use this request to ask the Town of Jerome for an extension before their permit expires, showing justifiable cause.

What this form is

This application asks the Town of Jerome to extend a building permit; the town’s adopted building codes allow an extension request with justifiable cause. Submit the written request before the permit expires. The form asks for the parcel and permit numbers, requester and property owner details, reason for the extension, additional information, and the applicant or permittee’s signature and date.

Who needs it

A building permit holder seeking an extension before expiration must submit a written request and demonstrate justifiable cause.

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 document is signed and dated without a notary; it mentions no notarized or sworn attachment, so the applicant or permittee just signs and dates it.

How to submit this form

  1. 1

    Download The Request

    Download the Building Permit Extension Request form.

  2. 2

    Complete The Form

    Enter the parcel and permit numbers, requester and property owner details, reason for the request, and any additional information.

  3. 3

    Sign And Date

    The applicant or permittee signs and dates the request.

  4. 4

    Submit To The Town

    Submit the written request before the permit expires; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Building Permit Extension Request?
No. The applicant or permittee signs and dates this request; it mentions no notarized or sworn attachment.
When should I request a building permit extension?
The written request must be made before the building permit expires, and justifiable cause must be demonstrated.
How do I submit the Building Permit Extension Request?
Submit it to the city department named on the form; check the city website for current contact details.
Does submitting the request automatically extend my permit?
No. The form says submitting the application does not grant an extension. The division makes a determination and returns the application within two weeks of submission.

Need something notarized?

This Building Permit Extension Request doesn’t need a notary — but if you have another Jerome form that does, a commissioned online notary can help.