HomeMy WebLinkAboutCO2025-002715UNDER CONSTRUCTION
TD — NO LETTER
SENT LETTER_
PW OR LID NEEDED
PENDING FIRE
PENDING HEALTH
LAND SCAPIll I i,ll
HOLD ri[E4�
C/O CHECK LIST
C/O PERMIT# 25
yy
ADDRESS-
-0
BUSINESS NAME-
13USINESS I PROPERTY
CHANGE NAME / OWNER -NEW CONST /ADDITION PERMIT#
NEW TENANT / OCCUPANT --REMODEL/ ALTERATION PERMIT#
V3.
— 4
7
8
11.
12.
13.
14
1?
18.
21
1/22.
ISSUE DATE FINAL DATE
APPLICATION FORM COMPLETED
WORKORDER FORM COMPLETED
ENVIRONMENTAL NOTIFIED bA TE TIME
ro
(E-TVIAIL JIMMY BROCK & VALERIE
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)
CITY SECRETARY (ALCOHOL)
PUBLIC WORKS INSPECTION
LOT DRAINAGE INSPECTION
CORRECTION LETTER SENT
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALTH DEPART MENT 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 I
I FICA F IONDAT Ill
F-MAIL DATE
E-MAIL DATE
DATE
I ETTER: YES / I
LETTER: YES / NO
ELECTRIC RELEASE:.,
SCAN CERTIFICATE TOMYG
MAILED.
PERMIT #:
r
CERTIFICATE Oii
F OCCUPANCY RE(`)UEST
FEE: $50.00
NO FEE REQUIRED IF THE CETTIFICJ TF,41F 4)CCrjP1 Nry IS
ADDRESS OF OCCUPANCY: W,, 5 SUITE #_j
LOT: BLOCK: SUBDIVISION:
":***CERTIFICATE OF OCCUPANCY "'ILL NOT BE ISSUED WITHOUT LEGAL DESCRIPTION****
NAME OF BUSINESS: f1/1
NEW OCCUPANT: YES 71' il
VNO�_ NEW BUILDING/PROP OWNER: YES — NO
NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES -NO
NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YESV:NO
FREIGHT FORWARDING: YES NO
TYPE OF BUSINESS:
xample: etail Clotkg,/ Attorney's Office / Restaurant A Office/Warehouse)
**EF OFFICE/WAREHOUSE PROVID=AKD WN SQUARE FOOTAGES:
SF OFFICE: SF WAREHOUSE:- TOTAL SQUARE FOOTAGE: `5 -7 7 0
0
NAME OF TENANT [PERSON'S NAME]:, _ ', C,J
CURRENT MAILING ADDRESS: C— 71 4,
CITY/STATE/ZIP: PHONE NUMBER: f 7 Y 57
PROPERTY OWNER:
MAIL INGADDRESS: A(U, j e,,4
CITY/STATE/ZIP: 7(;", PHONE NUMBER: /71
+ IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) ------- YES NO
* 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) - - YES NO
# PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? --------------------- YES NO
+ WILL BUSINESS GENERATE, ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? -------- YES NO
+ WILL OUTSIDE REFUSE IRECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required) YES NO _21
+ WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING9 YES NO
* WELL ANY ALTERATIONS BE MADE TO THE SITED BUILDING? ------------------_------- YES NO
+ IS BUILDING SPRINKLERED? ---------------------------------------------------------- YES—NO1
# WILL BUSINESS STORE OR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
(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 time of the scheduled inspection, a `,50.00 re -inspection fee will be charged)
FOR QUESTIONS or to RE -SCHEDULE, PLEASE CALL (817) 410-3165 or (817) 410-3166
SIGNATURE- PRINT NAME: Ka i 4,\
PHONE#. EMAIL: CLo, I!
Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099
(817) 410-3165 * (817) 410-3166
www. �ra;,Ievinetexas.,iov
C:FORMSSSAPPLICATIONS-MEMCO APP (OVER)
11.M4
i
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: 1 7 77 1
Signature:
WHERE DO, YOU...WANT YOUR COMPLIFTEP CERTIFICATE OF OCCUPANCY MAILED?
ADDRESS:
CITY, STATE, ZIP:
OFFICE USE
TYPE OF CONSTRUCTION: OCCUPANCY: DIVISION:
ZONING DISTRICT: CONDITIONAL USE:
PERMITTED USE. OCCUPANT LOAD:
BUILDING DEPARTMENT: DATE:
BUILDING INSPECTOR: DATE:
ZONING APPROVAL:
DATE:
FIRE DEPARTMENT: DATE:
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 # 25-002715
Grapevine, Texas 76099
817) 410-3166
Project Description: C/O (Office) "Micro Shield Inc."
ar
[PENDING FIRE],„
Issued on: 11/07/2025 at 12:20 PM
ADDRESS
INSPECTIONS
4
213 W Hudgins St., 400
1. Final Fire Dept Inspection 3. Landscaping
Grapevine, TX 76051
2. Final Building C/O Inspection 4. C/O APPROVED FOR ISSUANCE
LEGAL
B & D Mills Market
INFORMATION FIELDS
Center Addition Blk 1 Lot
**NAME OF BUSINESS
Mirco Shield Inc.
**TENANT NAME (individual)
Robin Bock
PERMIT HOLDER
TENANT PHONE NUMBER
817-454-1998
M
Grain ill Ltd
(817) 481-7901
APPLICANT E-MAIL
"APPLICANT NAME (individual)
Robin Bock
OWNERS
—APPLICANT PHONE NUMBER
817-454-1998
- Grain Mill Ltd
(817) 481-7901
Square Footage
3770
TYPE OF BUSINESS
Cleaning Company Office
TENANT• S
* CONSTRUCTION TYPE
V13
Robin Bock
Micro Shield Inc.
* OCCUPANCY GROUP
B
(817) 454-1998
New Occupant / Tenant
YES
Alterations
NO
Alcoholic Beverage Sales
NO
Change of Business Name
NO
Change of Business Owner
NO
Fire Sprinkler System?
NO
Freight Forwarding Business
NO
Hazardous Material
NO
Industrial Waste
NO
New Building / Property Owner
NO
New Building / Addition
NO
Number of Employees
6
Outside Refuse/Recycling
NO
Outside Storage
NO
* CONDITIONAL USE REQUIRED?
NO
Page 1/2
MyGov.us 25-002715, 11/07/2025 at 12:20 PM Issued by: Amanda Robeson
* OCCUPANCY LOAD
* PERMITTED USE
* ZONING DISTRICT
FEE
Certificate of Occupancy
TOTALS
25
YES
LI
***NO OUTDOOR STORAGE
INCLUDING BUT NOT LIMITED TO
COMPANY VEHICLES —
TOTAL PAID DUE
$50.00 $50.00 $50.00
$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.
>> (it access to the building/space is not provided at the time ot 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
Certificate of Occupancy
Project # 25-002715
Page 2/2
MYGOV.US 25-002715,11/07/2025 at 12:20 PM Issued by: Amanda Robeson
PERMIT # 25 -
ADDRESS OF INSPECTION:
OF HN'SPEC-fl,()f4- fEOHNSPEGTION,
NAME OF BUSINESS:
TYPE OF BUSINESS:
USE OF BUILDING AND/OR PREMISES'
nail t
REASON FOR APPLYING:
CONTACT PERSON: c
TELEPHONE NUMBER:
COMMENTS/VIOLAT IONS
**TO BE FILLED OUT BY BUILDING OFFICIAL**
70NING DISTRICT OF INSPECTION LOCATION:. OCCUPANT LOAD-
C: F ORKIS, F)S(;OINF'OftMA'I-ION,VVORKoRDER
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