HomeMy WebLinkAboutCO2025-003791UNDER CONSTRUCTION
TD - NO LETTER
SENT LETTER
PW OR LD NEEDED
, PENDING FIRE"
PENDING HEALTH
LANO" I,/.,CODE'' 1
C/O PERMIT # 25 -
17,
18.
1.
20.
21
22,
i 1100 or* n0w, R"611111
4
A
ISSUE DATE FINAL DATE
HEALTH INSPECTION
CITY SECRETARY (ALCOHOL)
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
'4k, COtl 01-110 NIS Tf) �'S'E TYPED CD N ,'1v-X?
DATE TIME
DATE TIME
FIRE INSPECTOR'
NOTIFICATION DATE:
NOTIFICATIONDATE:
E-MAIL DATE
E-MAIL DATE
DATE
LETTER: YES / NO
LETTER: YES / NO
ELECTRIC RELEASED:
SCAN CERTIFICATE TO MYGOI
... . . ........ .............
MAILED:
PERMIT #:
Cyr-'J'RTIFICATE OF OCCUPANCY RE UEST
FEE: $50.00
ADDRESS OF ® s. rooim _s4aa+ SUITE #
LOT: C BLOCK: SUBDIVISION:
""CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCREMON****
: -1 PLL 14 NAME OF BUSINESS
NEW OCCUPANT: YES NO NEW BUILDING/(`ROPERTY OWNER: YES NO
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE- YES NO
NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YES
FREIGHT FORWARDING: YES
TYPE OF BUSINESS: DRi'C- (,: (Example; Retail Clothing / Attorney's ®trace / Restaurant I OfficefWarehouse)
"IF OFFICE/WAREHOUSE PROVIDE BRLYAKDOWN OF SQUARE FOOTAGES:
SF OFFICE: SF WAREHOUSE: TOTAL SQUARE FOOTAGE:
L
NAME OF TENANT [PERSON'S NAME]: kL2L4_:_F= CL
CURRENT MAILING ADDRESS: St" 11 4- 6
CITY/STATEIZIP: ii AJ F_ PHONE NUMBER:
PROPERTYC-
MAILING ADDRESS: mn, I\j
CITYIS IX
TATE/ZIP: jj_!�J4 V I - 7- L PHONE NUMBER: US -7/917
IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) -------
YES_NOX
WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) ---
YES
NOX
WILL THERE BE FOOD SALES? (H yes, contact Tarrant County Health 817-3214983 for more information) - -
4 PERMITS ARE REQUIRED FOR SIGNS. WILL
YES
NO
I
+ WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? --------
YES
NO
4 WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required)
YES
NO X
WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING? YES
NO _X_
WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ----------------------------
YES
NOX
+ IS BUILDING SPRINKLERED? ----------------------------------------------------------
YES
NO
+ WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
list
(if yes, provide of types & quantities, along with material
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THE SAUD
OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH.
(If access tot buildingtspace is not provided at the time of the scheduled inspection, a S50.00 re -Inspection fee will be charged)
FOR QUESTIONS or It,RF,-SCI WDCILE, PLEASE CALL (817) 410-3165 or (817) 410-3166
PRINT NAME:
SIGNATUREk._
PHONE #: l7z)g/- EMAIL: -
Building Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 * (817) 410-3166
www.cirarievinetexas.00v (OVER)
C:FORMSMAPPUCATIONS-FEEWO APP
,,M�
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 Retailee, 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:
WHERE DO YOU WANT YOUR COMPLETED CERTIFICATE- -OF OCCUPANCY, MAILED?
ADDRESS:
7/
CITY, STATE, ZIP: C) ��
OFFICE USE
DIVISION:
TYPE OF CONSTRUCTION:- OCCUPANCY:
ZONING DISTRICT: CONDITIONAL USE:,
g�
PERMITTED USE: J OCCUPANT LOAD:
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: DATE:
ZONING APPROVAL: DATE:
7
DATE:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION: DATE:
PUBLIC WORKS DEPARTMENT: DATE:.
HEALTH DEPARTMENT: DATE:
CITY SECRETARY: DATE:
LANDSCAPING APPROVAL:' DATE:
APPROVAL FOR ISSUANCE: DATE:
City of Grapevine
Certificate of Occupancy
PO Box 95104
Project # 25-003791
0i.
Grapevine, Texas 76099
Project Description: C/O (Attorney Office) "Middlebrook
817) 410-3166
Group, PLI-C"
Issued on: 12/04/2025 at 12:19 PM
ADDRESS
INSPECTIONS
4
Grapevine Main & Main,
1. Final Fire Dept Inspection 3. Landscaping
LLC
611 S Main St., 500
2. Final Building C/O Inspection 4. C/O APPROVED FOR ISSUANCE
Grapevine, TX 76051
INFORMATION FIELDS
LEGAL
City Of Grapevine Blk 15 1
**NAME OF BUSINESS
Middlebrook Group, PLLC
Lot C
**TENANT NAME (individual)
Middlebrook Group, PLLC
Grapevine Main & Main
**TENANT PHONE NUMBER
817-484-0214
LLC
APPLICANT E-MAIL
HOLDER
—APPLICANT NAME (individual)
Sheree Obuabang
Sheree Obuabang
—APPLICANT PHONE NUMBER
281-728-7147
(281) 728-7147
Square Footage
6351
COLLABORATORS
*Sales Tax Number
N/A
- Sheree Obuabang
TYPE OF BUSINESS
Office
(281) 728-7147
CONSTRUCTION TYPE
IIB - SPRINKLERED
OWNERS
OCCUPANCY GROUP
B
- Grape Office Lic
*Sales Tax
NO
TENANTS
Alcoholic Beverage Sales
NO
• Middlebrook Group
Alterations
NO
Middlebrook Group,
Fire Sprinkler System?
YES
PLLC
Number of Employees
20
(817) 484-0214
Change of Business Name
NO
Change of Business Owner
NO
Freight Forwarding Business
NO
Hazardous Material
NO
Industrial Waste
NO
New Building / Addition
NO
New Building / Property Owner
NO
New Occupant / Tenant
YES
Outside Refuse/Recycling
NO
Page 1/2
MYGMUS 25-003791, 12/04/2025 at 12:19 PM Issued by: Amanda Robeson
INFORMATION FIELDS
Outside Storage
Signs
Square Footage - Office
• CONDITIONAL USE REQUIRED?
• OCCUPANCY LOAD
• PERMITTED USE
• ZONING DISTRICT
FEE TOTAL PAID DUE
Certificate of Occupancy $50.00 $50.00 $50.00
TOTALS $50.00 $50.00 $0.00
114 . 1 117-1111AW Ti
I AEREBY 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 bung/space is not provided at the time of schedule-i
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
City of Grapevine
Certificate of Occupancy
Project # 25-003791
MYGOV,US 25-003791, 12104/2025 at 12:19 PM
December 04, 2025
Date
Page 2/2
Issued by: Amanda Robeson
ERTI Fl CATE OF OCCUPANCY
WORKORDER
**TO BE FILLED OUT BY BUILDING OFFICIAL**
ZONING DISTRICT OF INSPECTION LOCATION -
OCCUPANT LOAD -
TYPE OF BUILDING:Po'
------ GROUP AND DIVISION7
ZONING RESTRICTIONS: . ........
C:IFORMS1DSCOINFORMATIONIWORKORDE-R
0,
12/3 /04 Rev 5/23/2024
t
CIL,
#25-003791
CERTIFICATE OF OCCUPANCY
M%
City of Grapevine Permits and Inspections
r.,pancy is hereby issued pursuant to Section 109 of the 2021 International Building Code And Chapter 64 of the
i'; "V rd
ehensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with
EL.Mo.ne,
-.snd Zoning Ordinances of the city of Grapevine. Any change in use, tenant and/or owner of this building/space
..'ertificate of Occupancy.
Business Name
Property Owner
A dll�brok C "-LLC
Grape Office Lie
6 M" S 1,
750 N Saint Paul St Ste 250
Dallas, TX 75201
PROJECT INFORMATION
Office
A
Ty! 118 - SPRINKLERED
43
D;,,*n---' CBD
ISSU'D R%
Date