HomeMy WebLinkAboutCO2025-003705TD — NO LETTER
SENT LETTER
PW OR LD NEEDED
PENDING FIRE
PENDING HEALTH
LANDSCAPING / CODE
HOLD FILE
•
C/O PERMIT# 25 -
ADDRESS: ;A
BUSINESS NAME:
BUSINESS I PROPERTY
CHANGE NAME / OWNER -NEW CONST /ADDITION PERMIT #
NEW TENANT / OCCUPANT _ REMODEL / ALTERATION PERMIT #
1.
2.
3.
4.
6
7.
8.
10.
11.
12.
19.
20,
21.
22,
Em�=I 2�,�
APPLICATION FORM COMPLETED
1, , If ; FORk COMPLETES
ENVIRONMENTAL NOTIFIED DATE"'�TIME
(E-MAIL JIMMY BROCK &gpqkQgLa vinetexta
u & VALERIE FARRELL yNr%n
_pk_ _ qpppv!netqtxas.qgy)
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)
FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL DATE
ZONING CHECKED & COMPLETED ON APPLICATION
BUILDING INSPECTION SCHEDULED DATE T I ME
FIRE DEPT INSPECTION SCHEDULED DATE TIME
FIRE INSPECTOR:
HEALTH INSPECTION NOTIFICATION DATE:_
CITY SECRETARY (ALCOHOL) NOTI FICATI ON DATE:
PUBLIC WORKS INSPECTION
LOT DRAINAGE INSPECTION
CORRECTION LETTER SENT
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPARTMENT SIGN OFF
CITY SECRETARY (Alcohol License Sign Off)
PUBLIC WORKS SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
C/O CERTIFICATE ISSUED
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
,. TORWDSCOINFORMATIOMCKI IST
121301041 Rev 5123124
13
DATE OF ISSUANCE:
PERMIT #:
CERTIFICATE OF OCCUPANCY RE UEST
FEE-0 $50.00 T A 4"WTTIL' 11TTP
ADDRESS OF OCCUPANCY: 2321 Mustang Drive
SUITE # 1100
LOT: 100 BLOCK: 4 SUBDIVISION. J&usjang_CQufirP Condo
*'**CERTIFICATE OF OCCUPANCYvVILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION
NAME OF BUSINESS: RIM Endeavors, LLC d1b/a The Vine Counseling & Wellness
NEW OCCUPANT: YES X NO NEW BUILDING/PROPERTY OWNER: YES - NO _X
NEW BUILDING: 'YES -NO X NEW BUSINESS NAME CHANGE: YES NO
NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YES ------------ NO
FREIGHT FORWARDING: YES -NO X
Counseling/Therapeutic Services/Behavioral Health
TYPE OF BUSINESS: (Example; Retail Ciotlhng/ Attarney's()ffli-e. R,®sfa rant!OffFyn lay: sn
;:":�IF OFFICEAVAREHOUSE PROVIDE BREAKDOWN OF SQUARE FOOTAGES:
SF OFFICE: 1391 SF WAREHOUSE: TOTAL SQUARE FOOTAGE:
R
CITY/STATE/ZIP: Arlington, TX 76005
CITY/STATE/ZIP. Frisco, TX 75035-0868
PHONE NUMBER: 817-939-5077
# IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) -------
YES
NO X_
# '"'ILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) ---
YES —
NO X
* TiVILLTHERF BE FOOD SALES? (il'yes, contact Tarrant County Health 817-321-4983 for more information) - -
YES —
NO
* PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? ---------------------
YES _X_
NO
* WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM" --------
YES —NO
X
+ WILL OUTSIDE RUE US E/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required)
YES
NO X
4 WILL THE, RE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING? YES —
NO X
4 WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ----------------------------
YES
NO
4 IS BUILDING SPRI('' KLERED? ----------------------------------------------------------
YES X
NO
* WILL BUSINESS STORE OR HANDLE I-L-iZARDOUS MATERIALS OR LIQUIDS?
X
(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 thne of the scheduled hispection, a '�50.00 re-jpUswetion fee will be charged)
FOR QUESTIONS to RE- PLEASE CALL (817) 410-3165 or (817) 410-3166
W, L9 PRINT NAME: Sharon Fulcher-Estes
SIGNATURE: -Z'
PHONE #: 817-939-5077, personal cell; 682-233-4325, office main EMAIL: sharon,,)
Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 (817) 410-3166
C:FO RMMBSAPPLICAMN&FEMAPP
IiMa4
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:
Signature:
XCITY, STATE, ZIP:
OFFICE USE
TYPE OF CONSTRUCTION: %/6 S FIXI.A; K kEAJE0 OCCUPANCY: - ----- DIVISION:
ZONING DISTRICT: cc_ CONDITIONAL USE:
PERMITTED USE: OCCUPANT LOAD:
BUILDING DEPARTMENT: DATE: 9-
BUILDING INSPECTOR- DATE -
ZONING APPROVAL: DATE:
V
DATE:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
DATE:
LANDSCAPING APPROVAL:
DATE:
APPROVAL FOR ISSUANCE*
City ofGrapevine
Grapevine, Texas 76099
Project►' ♦ i(Medical Office)
♦s
Counseling
Issued on: 10/13/2025 at 12:48 P
ADDRESS INSPECTIONS
2321 Mustang Dr., 100
Grapevine, TX 76051
1 •Final Fire Dept Inspection
2. Final Building C/O Inspection
LEGAL
Mustang Court Office
INFORMATION FIELDS
Condo Bilk 4 Lot 100
6.30% Of Common Area
' **NAME OF BUSINESS
PERMIT • r-;
Sharon Fulcher-Estes
Wellness
COLLABORATORS
Sharon
The Vine Counseling &
Wellness
OWNERS
• Jupiter Grapevine,
LLC
TENANTS
• Sharon Fulcher-Estes
The Vine Counseling &
Wellness
(682) 233-4325
**TENANT NAME (individual)
**TENANT PHONE NUMBER
**APPLICANT NAME (Individual)
**APPLICANT PHONE NUMBER
Square Footage
*Sales Tax Number
** TYPE OF BUSINESS
* CONSTRUCTION TYPE
* OCCUPANCY GROUP
" CONDITIONAL USE REQUIRED?
* OCCUPANCY LOAD
* PERMITTED USE
* ZONING DISTRICT
E
3. Landscaping
4. C/O APPROVED FOR ISSUANCE
RIM Endeavors, LLC dba The Vine
Counseling & Wellness
Sharon Fulcher-Estes
817-939-5077
Sharon Fulcher-Estes
817-939-5077
11
N/A
Medical Office
VB - SPINKLEED
NO
10
YES
CC
TOTAL PAID
$ 50.00 $ 50.00 $50.00
50.00 $ 50.00 $ 0.00
READ r; SIGR
HEREBY•• • THE BEST O
MY KNOWLEDGE AND THAT SAID OCCUPANCY IS IN CONFORMANCE WITH
THE INFORMATION
... t• FORTH.
>> (if access to the building/space is not provided at the time of scheduled
inspection, a $50.00 re-linspection fee will be charged)
111SPECTION, PLEASE CALL: (8171410-
Page 1/2
MYGGV.US 25-003705, 10/13/2025 at 12:48 PM Issued by: Amanda Robeson
N" I I I TIOTS 20, 1 a I V
**TO BE FILLEDI I "
ZONING I IT OF INSPECTION LOCATION: P T LOAD:
TYPE OF BUILDING: ...,__PRIAXLreaW._.. GROUP AND DIVISION:
ZONING RESTRICTIONS:
CERTIFICATE OF OCCUPANCY
16t,
City of Grapevine Permits and Inspections
�,pancv is hereby issued pursuant to Section 109 of the 2021 International Building Code And Chapter 64 of the
N
,hensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with
�-,,id Zoning Ordinances of the city of Grapevine. Any change in use, tenant and/or owner of this building/space
-.;?rtificate of Occupancy
Business Name Property Owner
.1ba The Vine Counseling& Jupiter Grapevine, LLC
Frisco, TX 75035
PROJECT INFORMATION
Medical Office
10
CC
fA
40
Date
"--^°