Rohnert Park, CA · Sonoma County
Request For Refund And/Or Permit Cancellation Form
Property owners and contractors use this form to request a refund of permit fees and/or cancellation of a permit from Rohnert Park’s Building Division.
What this form is
Use this form to request cancellation of a permit and/or a refund of fees paid to the Rohnert Park Building Department. The instructions say a permit application must be withdrawn before a refund request, which must be made in writing to the Building Official within 180 days of payment. The form asks for the job address, permit number, requestor and refund details, reason, signature, and supporting documents.
Who needs it
A property owner or contractor seeking permit cancellation or a refund of fees paid to Rohnert Park’s Building Department should complete this form.
How to submit it
Send the completed request to the Building Division, City of Rohnert Park, 130 Avram Avenue, 2nd Floor, Rohnert Park, CA 94928. The form also lists [email protected].
About notarization
This form is signed and dated without a notary; attach an official copy of the building permit and a receipt for paid fees.
How to submit this form
- 1
Download The Form
Download the Request For Refund And/Or Permit Cancellation Form.
- 2
Complete The Request
Provide the job address and permit number, requestor and refund details, reason for the request, and a signature and date.
- 3
Gather Attachments
Check the attachment boxes and include an official copy of the building permit and a receipt for paid fees.
- 4
Submit To The Building Division
Send the completed request to the Building Division at the address listed on the form.
Frequently asked questions
- What is the Rohnert Park permit refund and cancellation form for?
- It lets a requestor ask the Building Department to cancel a permit and/or refund fees paid for a permit.
- Who can use this permit refund form?
- The form lists owners and contractors as requestor options. It asks for permit and job details, the reason for the request, and refund information.
- Do I need a notary for the permit refund form?
- No. The signer signs and dates the form without a notary. Attach an official copy of the building permit and a receipt for paid fees.
- How do I submit the permit refund request?
- Send the completed form to the Building Division at 130 Avram Avenue, 2nd Floor, Rohnert Park, CA 94928. The form also lists [email protected].
Need something notarized?
This Request For Refund And/Or Permit Cancellation Form doesn’t need a notary — but if you have another Rohnert Park form that does, a commissioned online notary can help.