HomeMy WebLinkAboutCO2025-004266C/O PERMIT # 25 -
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UNDER CONSTRUCTION
TD - NO LETTER
SENT LETTER
PW OR LID NEEDED
PENDING FIRE
PENDING HE4L,TH
LANDSCAPING / CODE
I ,40.,LD VltE
ISSUE DATE , FINAL DATE
WORKIII RDER FORM COMPLETE*,
ENVIRONMENTAL NOTIFIED DATE TIME
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FIRE DEPT INSPECTION SCHEDULED
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 OR SIGN OFF
LOT DRAINAGE SIGN OFF
LANDSCAPING SIGN OFF
BUILDING OFFICIALS SIGNATURE
Ch--'.¢ CERTIFICATE ISSUED
DATE a TIME-
-IME
FIRE INSPECTOR:
NOTIFICATION DATE:
NOTIFICATION ATE:
E-MAIL DATE
mmx��
DATE
LETTER: YES
LETTER: YES
ELECTRIC RELEASED -
SCAN CERTIFICATE TO MYGOV:
MAILED:
NO
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C l!'CRi,4SaDSCOINFORMATION%CKLIST
12Mi041 Ruv, 5123/24
PERMIT #:
tlA
CERTIFICATE OF OCCUPANCY REQjjEST
FEE: $50.00
Tv , CEPTIFICJ. TE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMI1
ADDRESS OF OCCUPANCY: 200 W Northwest Hi1r,_;hwa, SUITE # 205
LOT: BLOCK: SUBDIVISION:
****CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION""
NAME OF BUSITIESS: Just Wellness RX LLC DBA
NEWOCCUPANT: YES X NO NEW BUILDING/PROPERTY OWNER: YES NO X
NEW BUILDING: YES NO x NEW BUSINESS NAME CHANGE: YES NO — x
NUMBER OF EMPLOYEES: 5 NEW BUSINESS OWNER: YES —NO _x
FREIGHT FORWARDING: YES —NO x I
TYPE OF BUSINESS: medspa (Exarnplea Re:01 Clothing I Attorney's Offire ' Resta rant w. are' Ur",
**IF OFFICE [WAREHOUSE PROVIDE BREAKDOWN OF SQUARE FOOTAGES:
SF OFFICE: SF WAREHOUSE:_ TOTAL SQUARE FOOTAGE: 1 200
NAME OF TENANT Allen Lewis
CURRENT MAILING ADDRESS: 3622 Dorothy Ave
CITY/STATE/ZIP: DallasfFxr75209 - PHONE NUMBER: 402-312-3059
MAILING ADDRESS: 5801 Tennyson Parkway, STE 150
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# IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) -------
YES
X NO
—
+ WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) - - -
YES
—NO
X
+ WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more information) - -
YES
— NO
X
# 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 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
4 WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ----------------------------
YES
NO
X
# IS BUILDING SPRINKLERED? ----------------------------------------------------------
YES
NO
+ WILL BUSINESS STORE OR RANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(if yes, provide list of types & quantities, along with material safety data sheets) -------------------------
YES
—NO
X
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TOT 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 �50.00 re -ins vection fee will be charged)
FOR QUESTIONS or to RE -SCHEDULE, PLEASE CALL (817) 410-3165 or (817) 410-3166
SIGNATURE: PRINT NAME: Allen Lewis
PHONE #: 402-312-3059 EMAIL:
Building Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 (817) 410-3166
MFORMSMAPPLICATIONS-FEEM0 APP
11121124
TEXAS SALES TAX
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 sates 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
Nif tate and local sales tax is due and is allocated
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.
MM=
ADDRESS: 3622 Doroth, Ave
CITY, STATE, ZIP: Dallas, TX, 75209
OFFICE USE
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
ZONING DISTRICT: t4 C, CONDITIONAL USE: A) 0
PERMITTED USE:. Vic -s> OCCUPANT LOAD:
DATE:
BUILDING DEPARTMENT:
BUILDING INSPECTOR: DATE:
ZONING APPROVAL: DATE:
FIRE DEPARTMENT: DATE:
PUBLIC WORKS DEPARTMENT:,.
HEALTH DEPARTMENT:
F,Vgw1 �$- malgay
DATE:
DATE:
DATE:
DATE:
DATE:
City of Grapevine
Certificate of Occupancy
PO Box 95104
Project # 25-004266
Grapevine, Texas 76099
817) 410-3166
Project Description: C/O (Med Spa) "Just Wellness RX LLC
Ai,
DBA Cryo-V
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Issued on: 12/16/2025 at 10:17 AM
ADDRESS
INSPECTIONS
4
200 W Northwest Hwy.,
205
1. Final Fire Dept Inspection 3. Landscaping
Grapevine, TX 76051
2. Final Building C/O Inspection 4. C/O APPROVED FOR ISSUANCE
LEGAL
INFORMATION FIELDS
Grapevine Shopping
Center BIk n/a Lot Plat
**NAME OF BUSINESS Just Wellness RX LLC DBA Cryo-X
S
**TENANT NAME (individual)
Allen Lewis
Grapevine Shopping
**TENANT PHONE NUMBER
402-312-3059
Center Lot Plat 388-127-
91 Part Of Abandoned
APPLICANT E-MAIL
Rd
—APPLICANT NAME (Individual)
Allen Lewis
PERMIT HOLDER
—APPLICANT PHONE NUMBER
402-312-3059
Allen Lewis
Square Footage
1200
Just Wellness RX LLC D
*Sales Tax Number
32099314174
BA Cryo-X
TYPE OF BUSINESS
Med Spa
(402) 312-3059
* CONSTRUCTION TYPE
VB
COLLABORATORS
* OCCUPANCY GROUP
B
- Allen Lewis
*Sales Tax
YES
Just Wellness RX LLC
DBA Cryo-X
Alterations
NO
(402) 312-3059
Change of Business Name
NO
Change of Business Owner
NO
OWNERS
K
- c Kingdom
Fire Sprinkler System?
YES
Perspective Lic
Freight Forwarding Business
NO
Hazardous Material
NO
TENANTS
Industrial Waste
NO
- Allen Lewis
Just Wellness RX LLC
New Building / Addition
NO
DBA Cryo-X
New Building / Property Owner
NO
(402) 312-3059
Now Occupant / Tenant
YES
Number of Employees
5
Outside Refuse/Recycling
NO
Outside Storage
NO
Page 1/2
MYGOV.US 25-004266, 12/16/2025 at 10:17 AM Issued by: Amanda Robeson
Ma =�
INFORMATION FIELDS
Signs
YES
* CONDITIONAL USE REQUIRED?
NO
*OCCUPANCY LOAD
10
* PERMITTED USE
YES
* ZONING DISTRICT
HC
FEE TOTAL PAID
DUE
Certificate of Occupancy $50.00 $50.00
$50.00
TOTALS $50.00 $50.00
$0.00
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I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST 0
MY KNOWLEDGE AND THAT SAID OCCUPANCY IS IN CONFORMANCE WIT
THE INFORMATION HEREIN SET FORTH.
>> (if access to the building/space is not provided at the time of schedul
inspection, a $50.00 re -inspection fee will be charged)
FOR QUESTIONS or TO RECALL FOR INSPECTION, PLEASE CALL: (817) 41
3165 or (817) 1
410-3166
Signature
Certif icate #1 ioccypai)Gy
Project # 25-004266
December 16, 2025
Date
Page 2/2
MYGOV.US 25-004266, 12116/2025 at 10: 17 AM Issued by: Amanda Robeson
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�.tERTIFICATE OF OCCUPANCY
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PERMIT # 25
ADDRESS OF INSPECTION:
TP,4E OF INSPECTION�
DAI F OF INSPECTION,
NAME OF BUSINESS:
TYPE OF BUSINESS: .. ...... . .
USE OF BUILDING AND/OR PRE MIS: -
REASON FOR APPLYING:
CONTACT PERSON:
TELEPHONE NUMBER: ------
COMM ENTSNI OLATIO NS- /Vc, 6r 1�h
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**TO BE FILLED OUT BY BUILDING OFFICIAL"
ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANT LOAD:
TYPE OF BUILDING: GROUP AND DIVISION:
ZONING RESTRICTIONS:
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