HomeMy WebLinkAboutCO2026-001145 A wi 1110T) In 0 1�1 111WN, I i
TD — NO LETTER
SENT LETTER
PW OR LD NEEDES
PENDING FIRV
PENDING HEALTH
LANDSCAPING / CODE
HO[D FILF
APPLICATION FORM COMPLETED
WORKORDER FORM COMPLETED
3. ENVIRONMENTAL NOTIFIED DATE TIME . ...... .
(E-MAIL JIMMY BROOK &VALERIE FARRELL
4. HAZARDOUS MATERIAL SAFETY DATA SHEETS TO FIRE DATE
(SCAN TO C/O IN MYGOV - IF LARGE SET, ALSO SCAN TO L F & FORWARD SET TO FIRE)
5. FIRE DEPARTMENT APPROVAL OF HAZARDOUS MATERIAL, DATE
6 ZONING CHECKED & COMPLETED ON APPLICATION
IF
18
7� 19
r-1111-1
20
21
BUILDING INSPECTION SCHEDULED
FIRE DEPT INSPECTION SCHEDULED
HEALTH INSPECTION
CITY SECRETARY (ALCOHOL.}
PUBLIC WORKS INSPEC I ION
LOT DRAINAGE INSPECTION
CORRECTION LETTER SENT
BUILDING INSPECTORS SIGN OFF
FIRE DEPARTMENTS SIGN OFF
HEALI H 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
CAFORMSOSCOINFORMATIMCKL IST
1`/30104\R,:v 512W24
TE OF ISSUANCE:
PERMIT ..;.x
CERTIFICATE OF OCCUPANCY RE4.)UEST
$50.00
f194, F4_i7W-,aWfIRED IF THE CERTIFICATE OF OCCUPANCY IS ASSOCIATED WITH AN ACTIVE CURRENT BUILDING PERMI!
ADDRESS
BLOCK: - ...._........_._ ... SUBDIVISION:
""CERTIFICATE F CCU C ILL NOT BE ISSUEDT LEGAL DESCRIPTION""
NAME OF BUSINESS:_
NEWOCCUPANT: YES NO NEW IWILDING/PROPERTY: YES NO
N YES NO NEW BUSINESS NAME CHANGE:
NUMBER OF YES: NEW BUSINESS OWNER: YES N
FREIGHT FORWARDING: YES
TYPE OF BUSINESS:
**IF OFFICE/WAREHOUSEPROVIDE BREAKDOWN OF SQUARE F TAG :
SFOFFICE: SF WAREHOUSE: TOTAL SQUARE FOOTAGE:
NAME OF TENANT
CURRENT AILINGADDRESS:
CITY/STATE/
MAILING ADDRESS:
NUMBER:
+
IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) -------
YES
NO
+
BeveragePHONE
WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic
+
WILL THERE BE iir SALES? (if yes, contact Tarrant County Health 817-321-4983 for moreinformation)NO
PERMITS ARE REQUIRED i SIGNS. WILLt
NO
+
WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? --------
YES
NO
+
WILL OUTSIDE REFUSE/RECYCLING/COMP,REFUSE/RECYCLING/COMPACTING CONTAINERSBE NECESSARY?1,. is required)NO
*
WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USE/DINING? YES
NO
+
WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ----------------------------
YES_NO
BUILDING S"` 1 ' 1
NO
WILL BUSINESS STOREOR HANDLE HAZARDOUS MATERIALS OR LIQUIDS?
provide of types & quantities,+ d.
i
I HEREBY CERTIFY THAT THE FOREGOING EST OF MY KNOWLEDGE ANDSAID
OCCUPANCY IS IN CONFORMANCE WITH THE INFORMATIONSET FORTH.
(If access to the building/space is not provided at the thne of the scheduled inspection, a $5 .00 re -inspection fee will be charged)
QUESTIONSFOR oc to RE -SCHEDULE, LEAS CALL (17) 0-3 or (7) -36
SIGNATURE: PRINTNA
PHONE#: AIL
Building Services Department
The City of Grapevine %I; P.O. Box 95104 * Grapevine, Texas 76099
(17) 10- 16 * (17) 10- 166
C:F0RMS1BSAPPLI0ATI0NS*EESIC0 APP
11/21/24
Texas Sales Tax is charged and collected on sales within the State and City of Grapevine, Texas of "taxable items." Taxable
items include of 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:
M!a=
71, 7
ADDRESS:
.. ... ......
CITY, STATE, ZIP:
----------------- 1�-
BUILDING DEPARTMENT:
R:
BUILDING INSPECTO
ZONING APPROVAL:
FIRE DEPARTMENT:
LOT DRAINAGE INSPECTION:
HEALTH DEPARTMENT:
CITY SECRETARY:
LANDSCAPING APPROVAI
APPROVAL FOR ISSUANCE -
117kral=
OCCUPANCY: DIVISION:
CONDITIONAL USE:
DATE:
DATE:
DATE:
DATE:
DATE:
City of Grapevine Certificate of Occupancy
PO Box 95104 Project # 26-001145
Grapevine. Texas 76099 Project Description: CIO (Outpatient Pediatric Speech and
817) 410-3166 Feeding Therapy Clinic) "More to Say Speech Therapy, PLLC`
Issued on: 0512/2026 at 2:24 PM
ADDRESS
230 Park Blvd., 104
Gragevine. TX 76051
LEGAL
Brookside Addition Blk 5
Lot 1 R
S
Astor and Black Custom
Clothiers
PERMIT HOLDER
Kacee Murray
rapy, PLLC
(214) 973-2442
COLLABORATORS
Kacee Murray
More to Say Speech
Therapy, PLLC
(214) 973-2442
INSPECTIONS
1. Final Fire Dept Inspection
2. Final Building C/O Inspection
**NAME OF BUSINESS
**TENANT NAME (Individual)
**TENANT PHONE NUMBER
APPLICANT E-MAIL
"APPLICANT NAME (individual)
—APPLICANT PHONE NUMBER
Square Footage
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
4
3. Landscaping
4. C4 6PPROVED FOR ISSUANCE
More to Say Speech Therapy® PLLC
Kacee Murray
214-973-2442
Kacee Murray
214-973-2442
1100
Speech Therapy Office
VB
B
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
YES
WEM
MYGOV.US 26-001145, 05,12,'2026 a4 2�24 PM Issued by: Couriney CDgburn
INFORMATION FIELDS
Signs
Square Footage - Office
• CONDITIONAL USE REQUIRED?
• OCCUPANCY LOAD
• PERMITTED USE
• ZONING DISTRICT
FEE
Certificate of Occupancy
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.
>> (if access to the building/space is not provided at the time of scheduW4
inspection, a $50.00 re -inspection fee will be charged)
FOR QUESTIONS orTO RECALL FOR INSPECTION, PLEASE CALL: (817) 410-
3165 or (817) 410-3166
§ignature
lip, i$
Project # 26-001145
Page 2;2
MYGOV US 26-001145. 05 12 2026 a[ 224 PM Issued by. Couriney Gogburn
CERTIFICATE
a/� ®>. tQ �� w. «~ OCCUPANCY�: \ {/�z §\�% «:{.>i ` � � a {�°\� ° �.>m� ±i \ :± \\>> �r< � » < �»� ^ «°S) %i\I° <>§> <� ,// % \ » « �`/». }�� <: » ?w 2
**TO BE FILLED UT BY BUILDING S OFFICIAL"
/#ZING DISTRICT OF INSPECTION LOCATION:
d222f±222d±#
TYPE OF & | ° ..... . / ?GROUP AND DIVISION -
ZONING ..
RESTRICTIONS:
C.WURMSOSCOINVORMAI 10NMORKORDrR
11,1130f04 R ;
.� .. .. . .�� . .. . ..... � . . . � .� .
777 7-7.
7NF77
140
CERTIFICATE OF OCCUPANCY
- „y-
3--City oi GrapevinePermits Inspections
This Certificate of Occupancy is hereby issued pursuant to Section 109 of the 2021 International Building Code And Chapter 64 of the
City of Grapevine Comprehensive Zoning Ordinance. At the time of inspection, this building or space was found to be in compliance with
the applicable Building and Zoning Ordinances of the city of Grapevine. Any change in use, tenant and/or owner of this building/space
shall first require a new Certificate of Occupancy.
Business
More to Say Speech Therapy, PLLG 230 N Park Blvd Uc
0 Park Blvd. 104 6405Pemberton Dr
Grapevine. TX 7051 Dallas. TX 75230
PROJECT INFORMATION
Use Classification: Speech Therapyis
Occupancy Group.,
Construction Type: VB
Occupancy Load:
ZoningDistrict: p
-X ISSUED Y: 61
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