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Home My WebLink AboutCO2021-3674UNDER CONSTRUCTION CORRECTION LETTER_ PW OR LID NEEDED TD NO LETTER WAITING FIRE HOLD CODE C/O CHECK LIST C/O PERMIT # P21 - r- xD"N % ADDRESS: 2U 1 !1-e— 5 l,l BUSINESS NAME: Cer4-rulmo ` e� BUSINESS IPROPERTY CHANGE NAME / OWNER NEW CONST / ADDITION PERMIT # NEW TENANT / OCCUPANT REMODEL / ALTERATION PERMIT # ISSUE DATE FINAL DATE 1. APPLICATION FORM COMPLETED 2. ZONING MAP COPIED & WORKORDER FORM COMPLETED "—' 3. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE (SCAN TO C/O IN MYGOV - IF LARGE SET, ALSO SCAN TO LF & FORWARD SET TO FIRE) 4/ FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE 5. ZONING CHECKED & COMPLETED ON APPLICATION �I�- 6. BUILDING INSPECTION SCHEDULED DATE TIMEA� 7. FIRE DEPT. INSPECTION SCHEDULED DATE ZR TIME •oo Pn� �-DU9 FIRE INSPECTOR: AI 8. CITY SECRETARY (ALCOHOL) 9. HEALTH INSPECTION 10. PUBLIC WORKS INSPECTION 11. LOT DRAINAGE INSPECTION 12. CORRECTION LETTER SENT 4X8 13. BUILDING INSPECTORS SIGN OFF 14. FIRE DEPARTMENTS SIGN OFF 15. HEALTH DEPARTMENT SIGN OFF 16. CITY SECRETARY (Alcohol License Sign Off) .� 17. PUBLIC WORKS SIGN OFF — LOT DRAINAGE SIGN OFF 19. LANDSCAPING SIGN OFF 20. BUILDING OFFICIALS SIGNATURE NOTIFICATION DATE: NOTIFICATION DATE: E-MAIL DATE E-MAIL DATE DATE LETTER: YES I NO LETTER: YES / NO 21. C/O CERTIFICATE ISSUED ELECTRIC RELEASED: SCAN CERTIFICATE TO MYGOV: CONDITIONS TO BE TYPED ON C/O? YES / NO MAILED: 0 4'ORMSIOSCOINFORMAT IONkM IS] 12/301041 Rev 11111,114Ib 5118 OCT 2021 * DATE OF ISSUANCE: (�Ip&.GRAP- VINE, T 1, x A S PERMIT #: — c7 Cal) CERTIFICATE OF OCCUPANCY REQUEST FEE: $50.00 NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURREN BUILDING PERMIT ADDRESS OF OCCUPANCY: 3 C�cl�l, It W)5, SUITE # LOT: 2 BLOCK: 4- SUBDIVISION: 63RAPevl V�E M1u S> A DD(TfOri ""**CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION**** NAME OF BUSINESS: C15P C'gLl" NEW OCCUPANT: YES _� NO NEW BUILDING/PROPERTY OWNER: YES NEW BUILDING: YES NO —� NEW BUSINESS NAME CHANGE: YES NUMBER OF EMPLOYEES: i b FREIGHT FORWARDING: YES NEW BUSINESS OWNER: YES TYPE OF BUSINESS: MLD7 C&L FACI 1_1"r`( (Example: Retail Clothing / Attorney's Office / Office -Warehouse / Restaurant) NAME OF TENANT [PERSON'S NAME]: Ft �f2.&0CjC__C0 CURRENT MAILING ADDRESS: (72,50 F �' Y`t ' 30 i!�,l ' CITY/STATE/ZIP:. M 14 M I / R_ • 3 _5 1-7 2> SQUARE FOOTAGE: -NO �L _ NO _ NO NO 3 S IS-0 t �-Z o ) -72 PHONE NUMBER: 17,% l "r -21 r PROPERTY OWNER: rROQE TT M&-N,&C-,C C_0_r MOUC"F TE_X&S U-C MAILING ADDRESS: Zoo ! , \N' - V h Sr SU 1 R 2 CITY/STATE/ZIP: M I 4M ( VL ► �3 -3 I Zo 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 ♦ WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? A (if yes,screemngisrequfred)----------------------------------------------------------- YES NO ♦ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), 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 be charged) FOR QUESTIONS AS CALL (817) -3165. SIGNATURE: PRINT NAME:�� , PHONE #: �� `"i ` -z- — Z I EMAIL: , I Development Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410-3165 Fax (817) 410-3012 * www.sraoevinetexas:eov O: FOR MSIDSAP PL (CATIONS -FEES 3/2001 /Rev: 5/06,2/07,4/09,2/13,11 /15,10/16,8/18,10/20 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: Signatur WHERE DO YOU WANT �Y) UR COMPLETED CERTIFIC E OF O4,7 CCY MAILED? ADDRESS: C 2 5-0 �" , w' -3& 5 � (S+-, CITY, STATE, ZIP: (-S` �x�x� xFOR OFFICE USE ONLY�x�x�x�x TYPE OF CONSTRUCTION: V& OCCUPANCY: 6 DIVISION: ZONING DISTRICT: eft— CONDITIONAL USE: yo PERMITTED USE: T �C OCCUPANT LOAD: . 3 ]Q BUILDING DEPARTMENT: / DATE: BUILDING INSPECTOR: DATE: ZONING APPROVAL: DATE: FIRE DEPARTMENT:M—4?/. / i f/ IY4' 4- (* r DATE: LOT DRAINAGE INSPECTION: DATE: PUBLIC WORKS DEPARTMENT: HEALTH DEPARTMENT: CITY SECRETARY: LANDSCAPING APPROVAL APPROVAL FOR ISSUANCE: Fly." DATE: DATE: v DATE: DATE: Z/2�-//2� O: FORMSIOSAPPLICATIONS-FEES 3/2001 /Rev: 5/06,2/07,4/09,2113,11 /15,10/16,8118,10/20 City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3166 Voice (817) 410-3012 Fax CONTRACTOR Francisco Perez 9250 NW 36th St. #207 Miami, FL 33178 (786) 942-2173 Phone CERTIFICATE OF OCCUPANCY Issue Date: February 28, 2022 PROJECT DESCRIPTION: CIO (Medical Office) "Centrum Health" PROJECT # LOCATION 2355 E Grapevine Mills Cir Grapevine, TX 76051 OWNER Property Management Group Of T 7200 Nw7th St Ste 207 Miami, FL 33126 AVAILABLE INSPECTIONS ► Final Building C/O Inspection (required) ► Final Fire Dept Inspection (required) ► Landscaping (required) ► C/O APPROVED FOR ISSUANCE (required) (817) 410-3010 Inspections TENANT Centrum Health INFORMATION * CONDITIONAL USE REQUIRED? * CONSTRUCTION TYPE * OCCUPANCY GROUP * OCCUPANCY LOAD * PERMITTED USE * ZONING DISTRICT ** NAME OF BUSINESS ** TYPE OF BUSINESS **APPLICANT NAME **APPLICANT PHONE NUMBER **TENANT NAME **TENANT PHONE NUMBER *Sales Tax *Sales Tax Number Alcoholic Beverage Sales Alterations Change of Business Name Change of Business Owner County Fire Sprinkler System? Freight Forwarding Business Hazardous Material Industrial Waste New Building / Addition New Building or Property Owner New Occupant / Tenant Number of Employees Outside Refuse/Recycling Outside Storage Signs Square Footage Zoning FEES WWW.mY9oV.US Permits LEGAL Grapevine Mills Addition Blk 4 Lot 2 NO VB B 39 YES CC Centrum Health Medical Office Francisco Perez 7869422173 Francisco Perez 7869422173 NO NO NO NO NO Tarrant NO NO NO NO NO NO YES 10 NO NO Tta 3850 CC - Community Commercial TOTAL = $ 50.00 MYGOV.US City of Grapevine I CERTIFICATE OF OCCUPANCY I CO-21-3674 I Printed 03/02122 at 8:35 a.m. Page 1 of 3 10/21/21, 3:45 PM c Zoning M;--- + 2355 E Grapevine Mills Cir, Grap X Q Show search results for 2355 E Grape... Sea Lik} Grapevines GU NCO ' Aquarium Legoland Discover} r MO Center f.lill: ft� Grapevine Mills Mall iirnes�c� Suite s � �1�It1�lq�r Zoning Map ti ti 60oft-97.038 32.965 Degrees All rigl- served https://g rapevi negis.maps.a rcgi s.com/apps/weba ppviewer/index. html?id=00580195730542d486d4a5fe6ad79f2e IVra: s We r City of Fort Worth, City of Grapevine, Te m Certificate of Occupancy 2355 E Grapevine Mills Circle Repair or replace Exit lights not working Install GFCI protection to all receptacle within 6 ft. of sinks Install proper electrical termination for flex going into water heater. Need address on electrical meter outside. Install drain pan under water heater and terminate to outside or mop sink Support expansion tank to wall Verify that all branch circuits to Patient Care areas are in approved Health Care listed raceways or cable. CERTIFICATE OF OCCUPANCY WORKORDER. PERMIT # 21 - 6V) `i ADDRESS OF INSPECTION: DATE OF INSPECTION- j1 I �Lzi?' NAME OF BUSINESS: - 0P.t'�un--I TYPE OF BUSINESS: l C TIME O`' r�F �IN_SPECTION: 4A� USE OF BUILDING AND/OR PREMISES: C-�L REASON FOR APPLYING: CONTACT PERSON: t�i C�1�1�ASlt7 P�er�� TELEPHONE NUMBER: (❑ o�- r `� 3 COMMENTSNIOLATIONS: �,P2 17PC/ ,411 D�rGF **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: CC OCCUPANT LOAD: TYPE OF BUILDING: ZONING RESTRICTIONS: GROUP AND DIVISION: Q AM O FORMS DSCOMFORMATION WORKORDER 12 30114 Rev. 1 17 21N16 City of Grapevine CERTIFICATE OF OCCUPANCY City of Grapevine This Certificate Of Occupancy is hereby issued pursuant to Section 109 of the 2006 International Building Code And Chapter 64 of the City Of Grapevine Comprehensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with the applicable Building and Zoning Ordinances of the City of Grapevine. Any change in use. tenant and/or owner of this building/space shall first require a new Certificate of Occupancy. Tenant / Business Centrum Health 2355 E Grapevine Mills Cir. �l Grapevine TX 76051 Use Classification Occupancy Group Construction Type Occupancy Load Zoning District PERMIT ID # CO-21-3674 Medical Office B VB 39 CC - Community Commercial Issued Don Dimon, Building Officir Property Owner Property Management Group Of T 7200 Nw7th St Ste 207 Miami FL 33126