HomeMy WebLinkAboutCO2013-2433JUL, 0 9 2013
DATE OF ISSUANCE:
PERMIT #:
CERTIFICATE OF OCCUPANCY REQUEST
FEE: $50.00
NO FEE REQUIRED IF CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMIT
ADDRESS OF OCCUPANCY: Ilqo in ITC11insoo U SUITE #Ll
LOT: BLOCK: SUBDIVISION: A48-,
_TohtsAz)
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSINESS: be d SliciL)
NEW OCCUPANT: YES NO
NEW BUILDING: YES NO NAME CHANGE: BUSINESS YES NO
NUMBER OF EMPLOYEES: FREIGHT FORWARDING: YES NO
NEW BUSINESS OWNER: YES NO I/
TYPE OF BUSINESS:, cfeoo cis, Shokk�� SQUARE FOOTAGE: 75Y
(Example; Retail, Office, Warehouse) V
NAME OF TENANT:
CURRENT MAILING ADDRESS:
CITY/STATE/ZIP: — All 14 PHONE NUMBER:
PROPERTY OWNER: J)ctjjcL5, X. i-d
MAILING ADDRESS:
CITY/STATE/ZIP: RocA,5f,r Alr iLlsVv PHONE NUMBER: r3 3 52 - 3090,
* IS YOUR BUSINESS SUBJECT SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) - - - YES— NO-V
♦ 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?
(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 7—
® IS BUILDING SPRINKLERED? ------------------------------------------------------- YES V 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 PLEASE CALL (817) 410-3165. 0,e,,,k.4)�C_Ao S.I'79 001165
PRINT NAME: 6:,4et�
SIGNATUR
PHONE #: 'Sa1j- EMAIL:
fc/ (q72) E)jq- (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
O;FORNI"SAPPLICATIONSkC/OAPPI&.ti-
312212001/Revistd:5fO6.5iO6,2/01.4109
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 "Seiler 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: t �1
Signature•
CITY, STATE, ZIP:
OFFICE USE ®NLY>ti �7F�r>ti>F>F>F�r
TYPE OF CONSTRUCTION: ft OCCUPANCY: DIVISION:
ZONING DISTRICT:. CONDITIONAL USE:
PERMITTED USE:
BUILDING DEPARTMENT:
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
PUBLIC WORKS DEPARTMENT:
HEALTH DEPARTMENT:
DATE:
DATE:
DATE:
DATE:
DATE:
LANDSCAPING APPROVAL: DATE: _ 7-If
APPROVAL FOR ISSUANCE:
O:PORJIS%OSA PPGICA7TONSlC/OApplkati-
0 /2272001 /RtA,a:S/06,$/06,2107,4/09