Visalia, CA · Tulare County

No notary required

Request for Refund and/or Permit Cancellation

Owners or contractors use this form to request cancellation of a building permit or application and seek a refund of eligible fees.

What this form is

This form lets an owner or contractor request cancellation or a change to a building permit or application and ask for a refund of eligible fees. The document says a written request must be filed by the original permittee before the permit expires; refund eligibility depends on the circumstances, and fees for staff processing time are retained. It asks for permit and project details, requestor contact information, a mailing address for any refund, a reason, and a signature and date.

Who needs it

An owner or contractor seeking to cancel or change a building permit or application, and request a refund of eligible fees, can use this form.

How to submit it

Submit the request to the Community Development Department, 315 E Acequia Ave, Visalia, CA 93291. The form lists (559) 713-4444 and www.visalia.city.

About notarization

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

How to submit this form

  1. 1

    Download the Form

    Download the Request for Refund and/or Permit Cancellation form.

  2. 2

    Complete the Request

    Enter the permit and project details, requestor contact information, refund mailing address, and reason for cancellation or refund.

  3. 3

    Sign and Date

    Sign and date the request. The form does not list an attachment requirement.

  4. 4

    Submit to the City

    Submit the request to the Community Development Department at 315 E Acequia Ave, Visalia, CA 93291.

Frequently asked questions

Do I need a notary for the permit refund and cancellation request?
No. The form has a signature and date line but no notary block or notarized attachment; the signer just signs and dates it.
How do I submit the permit refund and cancellation request?
Submit it to the Community Development Department at 315 E Acequia Ave, Visalia, CA 93291. The form also lists a phone number and city website.
Who can request a refund or permit cancellation?
The form is for an owner or contractor. It says a written refund application must be filed by the original permittee before the permit expires.
What information does the form ask for?
It asks for the permit number, application or issue date, project address, requestor information, refund mailing address, reason for the request, and a signature and date.

Need something notarized?

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