HomeMy WebLinkAboutCO2025-003641•
C/O PERMIT # 25 -
BUSINESS NAME.
i' • i
i NO LETTER
SENT LETTER
PW OR ! NEEDEX
PENDING FIRE
PENDING HEALTH
LANDSCAPING
`P •`
WOLD, FILE
'PROPERTY
,CHANGE NAMIL / OWNER NEW NST /ADDITION PERMIT#
TENANTNEW
ISSUE DATE FINAL DATE
_ __. ,....._..,._..
1.
APPLICATION FLED
2,
WORKORDER FORM COMPLETED
ENVIRONMENTAL NOTIFIED DATE. TIME
(E-MAIL JIMMY SRCCK ` rock ev'ntxas. arret! praDevinetexas.gov)tcr
4.
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)
5.
FIRE EPA T T APPROVAL A S MATERIAL
6
ZONING CHECKED & COMPLET APPLICATION
7.
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BUILDING INSPECTION SCHEDULED ATE ; , TIME
V e r
a
6.
FIRE DEPTINSPECTIONSCHEDULED ATE TI
FIRE INSPECTOR-
.
HEALTH INSPECTION NOTIF ATI DATE:
10.
CITY SECRETARY (ALCOHOL) TIFIATI AT :
11.
PUBLIC WORKS INSPECTION E-MAIL DATE
12,
LOT DRAINAGE INSPECTION E-MAIL DATE
13,
CORRECTION LETTER SENT DATE
14.
BUILDING INSPECTORS SIGN OFF LETTER: YES I
NO
15.
FIRE DEPARTMENTS SIGN OFF LETTER: Y /
NO
16.
HEALTH DEPARTMENT SIGN OFF
17.
CITY SECRETARY (Alcohol License Sign
16.
PUBLIC WORKS SIGN OFF
19"
LOT DRAINAGE SIGN OFF
Z-"
20,
LANDSCAPING SIGN OFF
21.
BUILDING OFFICIALS SIGNATURE
2.
C/O CERTIFICATEISSUE
ELECTRIC RELEASED -
SCAN CERTIFICATETO YGOV:
TO BE 'TYPED N, If"1107 YES I NO MAILED:
CWO RMS1[1SCOINFORMATIMCKIIST
12/101041 Rev 5123124
"VERTIFICATE OF OCCUPANCY IvLF,,(,, ,11JEST
FEE- $50.00
N, 0 TITLDPI�PE MIT
T ADDRESS OF OCCT �ANc,"y.
()cl BLOCK. 9 P,
**,v3Cf,',RTlTf(.'ATE OF OCCUTIAM"Al WTLL NOT BE ISAYED WITHOU"T LFGAL DFSCRJMIONF�**
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NEW OCCLIPAN'T. YES YFS N, It1j,51NESS NAMECHANGE, -VE NO
NUAMER OFFMPLOYEESa, Nl,,-W RUSENESS OWNM YES No
FRRIGHT FORWARDING. 17ES NO
Y'l TYPE OF RUSMESS; C', t C Rf(a(-MW-tag I Restaurant 0frice/Wirelmuse)
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SF WAREHOUSE- TOTA1, S'
QIJARE FOOTA
NAUNM' OFITNANT fPERSON'S NAMEJ: . ........
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PROPERTY ONVNNER:
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PERAMS ARE REQUIRED FOR SIGNS. WMI. A -NY SIGNS BE INSTALLED? ---------------------
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LHEREW CERTIFY'WATTHF. FORRGOINC,N" IS COR-RECT TO THE. BEZ3TOF IMY KNWAIXTIGE AND TIDE SAIT)
( 14, `(` (,-PAN f,'X V5 ow cli "P NMO RJbI ILI% NI(T' W1111 THE YNV OWMA 1710 N E[E',R, E tN 14 13" F OR TIL
(Tr accs fil blkijdlngfspav� is not provkled at Me fime fir thou selledi'lled ilvspcf,,,t!on, a I�SQAKI on fee vIll Im cha)-p.�d)
FOR QVTSTKILM�,w, to LE, PLK4,FE (-'ALL (917) 410-3165 o7)4 r M10-316
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1110N.,"NAM&
VMAIL
Ruftnc g ServicesDepartm ent
The City 0,0.rapev;ne, 1P"O. Bo-x 95104 -# Grapev�ne,
T, e: c Is -, 60 09,
TEXAS SALFS TAX
TexRq SnIes Tax iq chargpd and co&cted on &Mes v4thin the State and CRY of Grapevine, Texas of "4,axabfe ltemg!' Taxabie
If you are in a to sheen that -mil lw—rwlft "taxable items"
within the uty orter apevine,'Fexw� ywj wiN be required to collect State and Isical Soles T2x in the amn.unt of825%.
A "Seller or Retailer" as a person engaged in Lim businco; of Making sales of "taxable iterne'. the receipts From. which are
inchided in the measare of sail e's or iw, tax.
The term, 'V)ace of buginiesr" includp�s any location at which threp nr more orders are received. by the "Seller or Retailer
in as calendar year.. If an order b, received at the piace or businegs of as retAller in Texas, but defivery or shipment is m wale
rrom as jouafianwithin dwsbite other than0he retailer's p1.2ce of'busfnes& State and local ",les, fax is due and is a0focated to
the city where the order was received.
I have read the above and I understand th.9t I will be required to provide as copy of the Sales as Perjvkft to die City of
Grapevine, Texas at the circurniunce applies to Iny hirdpees.
Texas Sales Tax Number;
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TIFC IT,
ZI)P.
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'Wer, ICE TU"OU A
DIVISION:
TYPE OF CONSTRUCTION: OCCUPANCY:
ZONING DISTRICT:
PERMITTED USE:
BUILDING DEPARTMENT:,
BUILDING ®
ZONING APPROVAL:
FIRE DEPARTMIENT:
DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTM[ENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL: DATE:
APPROVAL FOR ISSUANCE: DATE:
it of Grapevine
Certificate of Occupancy
PO Box 95104
Project # 25-003641
�"S
Grapevine, Texas 76099
817) 410-3166
Project Description: C/O (Chriopractic Office) The Vine
4,;,�,& 7
Family Chriopractic, PLI-C"
i:
Issued on: 10/13/2025 at 12:38 PM
ADDRESS
2321 Mustang Dr., 200
Grapevine, TX 76051
LEGAL
Mustang Court Office
Condo Blk 4 Lot 200
flAJ1J#AALf—'2
Kelsey Brown
(405) 514-2315
OWNERS
® Jupiter Grapevine,
LLC
1. Final Fire Dept Inspection
2. Final Building C/O Inspection
**NAME OF BUSINESS
**TENANT NAME (individual)
**TENANT PHONE NUMBER
—APPLICANT NAME (individual)
—APPLICANT PHONE NUMBER
Square Footage
*Sales Tax Number
TYPE OF BUSINESS
* CONSTRUCTION TYPE
* OCCUPANCY GROUP
*Sales Tax
Alcoholic Beverage Sales
Alterations
Change of Business Name
Change of Business Owner
Fire Sprinkler System?
Freight Forwarding Business
Hazardous Material
Industrial Waste
New Building / Addition
New Building / Property Owner
New Occupant / Tenant
Number of Employees
Outside Refuse/Recycling
Outside Storage
4
3. Landscaping
APPROVED FOR ISSUANCE
The Vine Family Chiropractic, PLLC
Kelsey Brown
817-421-0800
Kelsey Brown
405-514-2315
1259
N/A
Medical Office
VB
B
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
YES
2
NO
NO
Page 1/2
MYGOV.US 25-003641, 10/13/2025 at 12:38 PM Issued by: Amanda Robeson
INFORMATION FIELDS
Signs
YES
CONDITIONAL USE REQUIRED?
NO
OCCUPANCY LOAD
9
• PERMITTED USE
YES
• ZONING DISTRICT
cc
FEE TOTAL
PAID DUE
Certificate of Occupancy $50.00
$50.00 $50.00
TOTALS $50.00
$50.00 $0.00
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF
MY KNOWLEDGE AND THAT 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 $50.00 re -Inspection fee will be charged)
FOR QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 410-
3165 or (817) 410-3166
Signature
it of Grapevine Certificate of Occupancy
Project # 25-003641
MYGOV.US 25-003641, 10/13/2025 at 12:38 PM
Page 2/2
Issued by: Amanda Robeson
CERTIFICATE OF
OCCUPANCY
WORKORDER,
FILLED OUT
C.IFORMSlDSCOINF ORMATION%WORKORDE R
12/30/04 Rev 5/23/2024