HomeMy WebLinkAboutCO2013-1839$
DATE OF ISSUANCE:
PERMIT #: }
NEW OCCUPANT: YES %-1 NO
NEW BUILDING: YES NO
NUMBER OF EMPLOYEES:
TYPE OF BUSINESS:
(Example: Retail, Office, Warehouse)
NAME OF TENANT:
NEW BUILDING /PROPERTY OWNER:
YES
NAME CHANGE: BUSINESS
YES
FREIGHT FORWARDING:
YES
NEW BUSINESS OWNER:
YES
SQUARE FOOTAGE:
CURRENT MAILING ADDRESS: % T" ! ` —
NO
_ NO
_ NO
NO
�a
0
CITY /STATE /ZIP: l t 11 -'- I *, -7 PHONE NUMBER: 2 '75,a3
PROPERTY OWNER: L -r u iz--r L
MAILING ADDRESS: 4P 1P C e_s I
CITY /STATE /ZIP: rjo u L ' D ' PHONE NUMBER: 1 7 — ® on
♦ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - - YES NO t�
♦ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) -YES NO 4s�'
♦ PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? - - - - - - - - - - - - - - - - - - - YES V NO
♦ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? - - - - - YES NO
♦ 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 $42.0 re- inspection fee will be charged)
FOR QUESTIONS LE SE CALL (817) 410.3165.
PRINT NAME: I SIGNATURES
O: FORMS \DSAPPLICAT[ONS \C /OAppH.ti-
3 /22200liRevised :5/06,5/06,2/07,4 /09
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 year. 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' N L,'
Sign
ADDRESS: �-3 ,�,� t 2
CITY, STATE, ZIP:
ROMP
FOR OFFICE USE ONLY
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
ZONING DISTRICT: 6 CONDITIONAL USE:
PERMITTED USE: j
BUILDING DEPARTMENT: DATE: 4ry zo 13
ZONING APPROVAL: -°- - DATE:
FIRE DEPARTMENT: DATE: (% r/
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
O: FOR RIS \DSAPPIA CATI ONS \C /OApplic.tinn
3/22 12001 1Resised:5 /06.5106, 2101,4109
DATE:
DATE:
DATE: �p °�� _13
DATE: "tf 3
.t7' R - -- ' I E .
CERTIFICATE OF OCCUPANCY
Issue Date: June 21, 2013
a
_I
PROJECT DESCRIPTION: C/O (Mortgage Company) "Primary Residential Mortgage"
PROJECT # (817) 410 -3010
CO -13 -1839 Inspections
www.mygov.us
Permits
City of Grapevine,
TX
LOCATION
TENANT
LEGAL
P.O. Box
Grapevine, , T TX x 76099
4821 Merlot Ave. Primary Residential
Suite # 220 Mortgage
Grapevine, TX 76051
Delaney Vineyards Addition
Blk 2 Lot 2111
(817) 410 -3165 Voice
(817) 410 -3012 Fax
CONTRACTOR
INFORMATION
CERTIFICATE OF OCCUPANCY
* APPLICATION STATUS
Approved
200 S. Main Street
* CONSTRUCTION TYPE
VB
Grapevine, TX 76051
(817) 410 -3158 Phone
* OCCUPANCY GROUP
B
* ZONING DISTRICT
PO
OWNER
** NAME OF BUSINESS
Primary Residential Mortgage
Merlot Court Lp
** TYPE OF BUSINESS
Office
* *APPLICANT / TENANT'S NAME
Jess Lewis
3980 Broadway St # 103 -134
Boulder, CO 80304 -1133
ph. (817) 637 -8000
* *APPLICANT / TENANT'S PHONE
NUMBER
214- 876 -7503
* *Sales Tax
NO
AVAILABLE INSPECTIONS
* *Sales Tax Number
► Final Fire Dept Inspection (required)
► Final Building C/O Inspection (required)
Alcoholic Beverage Sales
NO
Alterations
NO
► Landscaping (required)
► C/O APPROVED FOR ISSUANCE
(required)
Change of Business Name
NO
Change of Business Owner
NO
County
Tarrant
Fire Sprinkler System?
YES
Freight Forwarding Business
NO
Hazardous Material
NO
Industrial Waste
NO
New Building / Addition
NO
New Building or Property Owner
NO
New Occupant / Tenant
YES
Number of Employees
6
Outside Refuse /Recycling
NO
Outside Storage
NO
Signs
YES
Square Footage
1590
Zoning
PO - Professional Office
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO -13 -1839 I Printed 06/25/13 at 4:05 p.m. Page 1 of 3
FEES TOTAL = $ 50.00
Certificate of Occupancy $ 50.00
PAYMENTS
TOTAL = $ 50.00
CERTIFICATE OF OCCUPANCY (City of
Grapevine Applicant) ($50.00)
Cash on 0512212013
Note: 50.00
READ AND SIGN
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 scheduled
inspection, a $42.00 re- inspection fee will be charged)
FOR QUESTIONS PLEASE CALL: (817) 410 -3165.
Owner / Agent Signature Date
MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO -13 -1839 1 Printed 06/25/13 at 4:05 p.m. Page 2 of 3
2120 -444
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