Visalia, CA · Tulare County
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
Download the Form
Download the Request for Refund and/or Permit Cancellation form.
- 2
Complete the Request
Enter the permit and project details, requestor contact information, refund mailing address, and reason for cancellation or refund.
- 3
Sign and Date
Sign and date the request. The form does not list an attachment requirement.
- 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.
