Do I need a notary for the Building Permit Cancellation and Request for Refund?

No. The form has a signature and date line, but no notary block. A letter approving payment to another party is required in that situation, but the form does not say it must be notarized.

How do I submit the Building Permit Cancellation and Request for Refund?

Send the completed form to the Town of Atherton Building Department at 80 Fair Oaks Ln, Atherton, California 94027. Include the applicant’s approval letter if the check should be payable to another party.

Who can file this refund request?

The form identifies the owner or contractor as the person authorizing cancellation and states that a written refund application must be filed by the original permittee.

When may I request a fee refund?

The form says the written application must be filed by the original permittee no later than 180 days after fee payment. Refund eligibility depends on the circumstances described on the form.

Atherton, CA · San Mateo County

No notary required

Building Permit Cancellation and Request for Refund

Owners or contractors use this form to request cancellation of a building permit or application and seek an eligible fee refund from the Town of Atherton.

What this form is

The form authorizes cancellation of a building permit or application and requests a refund of fees allowed by the Town. A written application must be filed by the original permittee within 180 days of fee payment; the form explains potential refunds for erroneously collected fees, withdrawn applications before plan review, and permits with no work performed.

Who needs it

The original permittee who is an owner or contractor may use this form to cancel a building permit or application and request an eligible fee refund.

How to submit it

Submit the completed form to the Town of Atherton Building Department, 80 Fair Oaks Ln, Atherton, California 94027. If the refund check should be payable to someone other than the applicant who paid the fees, include the applicant’s approval letter.

About notarization

This document is signed without a notary; the signer signs and dates the form, and any letter approving payment to another party is not identified as requiring notarization.

How to submit this form

1
Download The Form
Download the Building Permit Cancellation and Request for Refund form.
2
Complete The Form
Provide the project address, building permit number, cancellation reason, contact information, signature, and date.
3
Gather Any Needed Letter
If the check should be payable to someone other than the applicant who paid the fees, include that applicant’s approval letter.
4
Submit To The Town
Send the completed form and any needed letter to the Building Department at 80 Fair Oaks Ln, Atherton, California 94027.

Frequently asked questions

Do I need a notary for the Building Permit Cancellation and Request for Refund?: No. The form has a signature and date line, but no notary block. A letter approving payment to another party is required in that situation, but the form does not say it must be notarized.
How do I submit the Building Permit Cancellation and Request for Refund?: Send the completed form to the Town of Atherton Building Department at 80 Fair Oaks Ln, Atherton, California 94027. Include the applicant’s approval letter if the check should be payable to another party.
Who can file this refund request?: The form identifies the owner or contractor as the person authorizing cancellation and states that a written refund application must be filed by the original permittee.
When may I request a fee refund?: The form says the written application must be filed by the original permittee no later than 180 days after fee payment. Refund eligibility depends on the circumstances described on the form.

Need something notarized?

This Building Permit Cancellation and Request for Refund doesn’t need a notary — but if you have another Atherton form that does, a commissioned online notary can help.