HomeMy WebLinkAboutCO2013-1582DATE OF ISSUANCE:
..0 "
PERIMIT #: 56
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY ]SASSOCIATED WITH AN ACTIVE CURRENT BUILDING
ADDRESS OF OCCUPANCY:- ?Q50 \,0jES,-T
SUITE #
LOT: BLOCK: SUBDIVISION: &,,C, -V'i,/-\C--�I(a:2a
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: lLS
NEW OCCUPANT: YES —NO�_ NEW BUILDING/PROPERTY OWNER: YES NO
NEW BUILDING: YES NO NAME CHANGE: BUSINESS YES NO
NUMBER OF EMPLOYEES.--
FREIGHT FORWARDING: YES— NO
NEW BUSINESS OWNER: YES NO
TYPE OF BUSINESS: SQUARE FOOTAGE: 15!5 1
(Fxample: Retail, Office, Warehouse)
NAME OF TENANT: Kb )Y- CHO q.-I
CURRENT MAILING ADDRESS: 71 V, CLI� ,
CITWSTATVZIP:0:��JLLC, R -eWl PHONE NUMBER:
I
PROPERTY OWNER:-
MAILING ADDRESS:
L+A .
CITY/STATE/ZIP: PHONE NUMBER:
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES= NO
# WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) -YES NO
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - YES NO V'
♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY?
(if yes, screening is required) ----------------------------------------------------------- YES
NO
♦ WILL THERE BE ANY OUTSIDE STORAGE, DISPLAY, USE OR DINING.- - - - - - - - - - - - - - - - - - - - - - YES NO
+ WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING ?------------------- - - - - -- YES NO
♦ IS BUILDING SPRINKLERED? ------------------------------------------------------- YES_ NO
♦ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provide list of types & quantities, along with material safety data sheets) - - - - - - - - - - - - - - - - - - - - - - YES NO
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAID
OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH.
(If access to the building/space is not provided at the time of the scheduled inspection, a $42.00 re-inspection fee will he charged)
FOR QUESTIONS PLEASE CALL (817) 410-3165.
PRINT NAME: —Ckt0161 DOVI!E, 9'K SIGNATURE:
PHONE #: gig) EMAIL:
(OVER)
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165
Fax (817) 410-3012 * www.grapevinetexas.gov
V211H J'Rc'iwd:Nft. M6,2107A109
TEXAS SALES TAX
Texas Sales Tax is charged and collected on sales within the State and City of Grapevine, Texas of "taxable items." Taxable
items include both tangible personal property, specified services. If you are in a business that will be selling "taxable items"
within the City of Grapevine, Texas you will be required to collect State and Local Sales Tax in the amount of 8.25 %.
A "Seller or Retailer" means a person engaged in the business of making sales of "taxable items ", the receipts from which are
included in the measure of sales or use tax.
The term, "place of business" includes any location at which three or more orders are received by the "Seller or Retailer in
a calendar vear. If an order is received at the place of business of a retailer in Texas, but delivery or shipment is made from a
location within the state other than the retailer's place of business. State and local sales tax is due and is allocated to the city
where the order was received.
I have read the above and I understand that I will be required to provide a copy of the Sales Tax Permit to the City of
Grapevine, Texas if the circumstance applies to my business.
Texas Sales Tax number: ~ 2-0 2-C)o 3 2'
Signature:
l I f'- k`0 Y Q L M-' kNTi, V10 R ("OO'�`i '�: ? i ��i; "? � .: 'i'€ i' 4,t ` ; ' ', �0 Vii: Y , :'
ADDRESS: i C a
CITY, STATE, ZIP: _i _ ��5`%1 Lt 3_�5 , (Y -�
x�xxxxx>ti,kxxxxFOR OFFICE USE ONLyxXX r ��x
TYPE OF CONSTRUCTION: 1.z OCCUPANCY: DIVISION•
ZONING DISTRICT: CONDITIONAL USE:
I {IRE DEPARTME?ST: 0. DATE: f
LOT DRAINAGE INSPECTION: _! DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
LANDSCAPING APPROVAL
APPROVAL FOR ISSUANCE:
O:FpRWSJI APNACATION$k.COAp li—i-
A':A'ZUOI.�Rni.cd:.v'06..V0(., 2107.4109
DATE: —,/
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