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Home My WebLink AboutCO2025-004458"10 0"%HE"%K LIST C/O PERMIT 2, 4. —10, 11. 12. 3. 14, --15. 16. 17. —18. —19. - 20. 21. —22, 11 r fz�mflfl TD — NO LETTER SENT LETTER PW OR LD NEEDED PENDING FIRE PENDING HEALTH, LANDSCAPING / CODE HOLD FILE ISSUE DATE.- FINAL DATE APPLICATION FORM COMPLETED WORKORDER FORM COMPLETED ENVIRONMENTAL NOTIFIED DATE TIME (E-MAIL JIMMY BROCKJ`�L,' --,'wov & VALERIE FARRELL 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 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 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 MYGOV pvw p� MAILED. C W )RMSW -COINFORMATIOMCKLIST I.V301M \Rev 5MIN PERMIT #: 741 Iowa 9 1_11 [MA, FEE: $50.00 NODDRESS FEE REQUIRED IF THE CERTIFICATE 3000 Grapevine Mills Pkwy AOF OCCUPANCY: SUITE #26 A)T: BLOCK: SUBDIVISION: **:';,'-CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION"" NAME OF BUSINESS: Shoe Palace NEW OCCUPANT: YES x NO NEW BUILDING/PROPERTY OWNER: YES NO x NEW BUILDING: YES NO X NEW BUSINESS NAME CHANGE: YES NO x NUMBER OF EMPLOYEiS-72__,__ NEW BUSINESS OWNER: YES NO X FREIGHT FORWARDING: YES -NO x TYPE OF BUSINESS: Ret. "lathlefic shoes (Exaniple: WWI Clothiog I AlInmey's Office Restaurant / Office/Warehouse) **IF OFFICE/WAREHOUSE PROVIDE BREAKDOWN OF SQUARE FOOTAGES: SF OFFICE: SF WAREHOUSE: TOTAL SQUARE FOOTAGE: Shoe Palace Ul,ME OF TENANT [PERSON'S NAMEI: CURRENT MAILING ADDRESS: 3000 Grapevine Mills Pkw�,, CITY/STATE/ZIP: Q,rape-vine, TX76051 PROPERTY OWNER: SimmQn,Grapeyone Mills 11 MAILING ADDRESS: 3000 Grapevine Mills Pkwy CITYPSTATE/ZIP: Gral)e inp- TX 76051 a 0 1 . * 6 # IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) ------- YES X NO 4 WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) --- YES NO * WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more information) * PERMIT-v ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? --------------------- YES _ NO 4 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 4 WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USEIDINING? YES _ NO 4 WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ---------------------------- YES NO X + IS BUILDING SPRINKLERED? ---------------------------------------------------------- YES NO 4 WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS? (if ves, 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 S50.00 re-insvection fee will be charged) FOR QUESTIONS orto RE-SCHEDYLE, PLEASE CALL (817) 410-3165 or (817) 410-3166 SIGNATURE: PRINT NAME: PHONE#: 669 253 L%6 EMAIL: anthonyr@shoepala( Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, TexE.3 76099 (817) 410-3165 * (817) 410-3166 WK j_ra:-.Ievinetexas.,�ov dOVER'y TEXASSALESTAX Texas Sales Tax is charged and collected on sales within the State and City of Grap.vine, 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. -rexas Sales Tax Number: Signature. . .. . . .. .......... ..... .. ... ... ... ..... P, WHERF )QYQIJ WANT YOUR COINIPLETED CERTIFICATE-PF OCCUPANCY MAILED? ADDRESS: CITY, STATE, ZIP: OFFICE USE TYPE OF CONSTRUCTION: OCCUPANCY. DIVISION: ZONING DISTRICT: CONDITIONAL USE: PERMITTED USE: OCCUPANT LOAD - BUILDING DEPARTMENT: BUILDING INSPECTOR. 'ONING APPROVAL: 'I RE DEVX RTNIENT: LOT DRAINAGE INSPECTION: PUBLIC OR DEPARTMENT: HEALTH DEPA RTMENT: CITY SECRETARY: LANDSCAPING APPROVAL: APPROVAL FOR ISSUANCE: DATE: DATE: DATE: NEREMS DATE: DATE: DATE: DATE. City of Grapevine Cercate of Occupancy PO Box 95104 Project # 25-004458 Grapevine, Texas 76099 817) 410-3166 Project Description: C/O (Retail Shoe Store) "Shoe Palace Issued on: 12/16/2025 at 8:49 AM Pkwy., C26 GraDevine, TY 76#51 Shoe Palace (669) 253-8986 OWNERS - Grapevine Mills Mail Lp (317) 636-1600 A LED Goodies (310) 850-4720 1. Final Building C/O Inspection 2. Landscaping INFORMATION FIELDS **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 3 Shoe Palace Anthony Rodriquez 972-874-1730 Anthony Rodriquez 669-253-8986 55 17705872459 Retail (Shoe Store) IIB - SPRINKLERED M YES NO NO NO NO YES NO NO NO NO NO YES 2 NO NO Page 1/2 MYGOV.US 25-004458, 12/16/2025 at 8:49 AM Issued by: Amanda Robeson Signs • CONDITIONAL USE REQUIRED? • OCCUPANCY LOAD • PERMITTED USE • ZONING DISTRICT 59A 1� • i �- 31�' k I TOTAL PAID DUE $50.00 $50.00 $50.00 $50.00 $50.00 $0.00 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 building/space is not provided at the time of scheduk2c; 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 Certificate of Occupancy Project # 25-004458 Page 2/2 MYGOV.US 25-004458, 12116/2025 at 8:49 AM Issued by: Amanda Robeson \.. : ° } 'Mflm��M, N M.11,11M Mill, . } � \ ^� �� ^� » �.( :) »m! �S �\.��< G V ORMST)SCOINFORMA I IONNORKORDER !.I/3(l/O4 Rev ! 72312024 4 1 3 iW3 -36 #25-004458 CERTIFICATE OF OCCUPANCY City of Grapevine Permits and Inspections hereby issued pursuant to Section 109 of the 2021 International Building Code And Chapter 64 of the -�,ahensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with ;!1d Zoning Ordinances of the city of Grapevine. Any change in use, tenant and/or owner of this building/space i.ertificateof Occupancy. Business Name -I%- pil Pkwy. C26 Tx PROJECT INFORMATION -If;st,-c,It,:- Retail (Shoe Store) lip n SPRINKLERED CC Property Owner Grapevine Mills Mall Lp 225 W Washington St AD&. -