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HomeMy WebLinkAboutCO2026-002230UNDER CONSTRUCTION TD - NO LETTER SENTLETTER PW OR LD NEEDED PENDING FIRE PENDING HEALTH LANbSCAPING / CODE FILE 1,6119-Y44 M 1 *1 1 L APPLICATION FORM COMPLETED 2, WORKORDER FORM COMPLETED 3. ENVIRONMENTAL NOTIFIED DATE TIME (E-MAIL JIMMY BROCK 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) 5, FIRE DEPARTMENT APPROVAL, OF HAZARDOUS MATERIAL DATE 6 ZONING CHECKED & COMPLETED ON APPLICATION 7, BUILDING INSPECTION SCHEDULED 8, FIRE DEPT INSPECTION SCHEDULED 12 13 14 15 16 17 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 ELECTRIC RELEASED. SCAN GER1 HCATE TO MYGOV MAILED. ( 'T ( aN� I , A N I *"g� I A s)i DATE OF ISSUANCE: T 7 PERMIT #: M4 V CERTIFICATE OF OCCUPANCY Ry 11 QVEST FEE: $50.00 ry L, A Tj A -'VTTZ17 EkFANJILrtNG7PLqUffi ADDRESS OF OCCUPANCY: . . ...... SUITE# LOT: BLOCK: SUBDIVISION: 4 . . .... .... . . i CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITIR)UT LEGAL DESCRIPTION"" NAME OF BUSINESS: NEW OCCUPANT: YES NO— NEW BUILDING/PROPERTY OWNER: YES — No NEW BUILDING: YES NO NEW BUSINESS NAME CHANGE: YES --NO._,�_ ',,- NUMBER OF EMPLOYEES: NEW BUSINESS OWNER: YES- NO FREIGHT FORWARDING: YES—NO— TYPEOFBUSINESS: **IF OFFICE[WAREHOUSE PROVIDE BREAKDOWN OF SQUARE FAGS: SF OFFICE: SF WAREHOUSE: TOTALS QUAREFOOTAGE: NAME OF TENANT::: CURRENT MAILING ADDRESS: :,j! CITY/STATE/ZIEP: PHONE NUMBER: PROPERTY OWNER: MAIL INGADD RESS: V, k X., ------- --- --- -- 71. PHONE CITY/STATE/ZIP: NUMBER: . .... + IS YOUR BUSINESS SUBJECT TO SALES TAX LAW? (if yes, provide copy of Sales Tax Certificate) ------- YES NO T/ + WILL THERE BE ALCOHOLIC BEVERAGE SALES? (if yes, provide copy of Alcoholic Beverage Permit) --- YES NO 4 WILL THERE BE FOOD SALES? (if yes, contact Tarrant County Health 817-321-4983 for more information) - - YES NO tam 4 PERMITS ARE REQUIRED FOR SIGNS. WILL ANY SIGNS BE INSTALLED? --------------------- YES NO 17 4 WILL BUSINESS GENERATE ANY INDUSTRIAL WASTE DISCHARGE TO SEWER SYSTEM? -------- YES NO V 4 WILL OUTSIDE REFUSE/RECYCLING/COMPACTING CONTAINERS BE NECESSARY? (screening is required) YES N07 4 WILL THERE BE ANY OUTSIDE STORAGE (including storage of company/fleet vehicles), DISPLAY/ USED YES NO -JL� + WILL ANY ALTERATIONS BE MADE TO THE SITE OR BUILDING? ---------------------------- YES NO t-" 0 IS BUILDING SPRINKLERED? ---------------------------------------------------------- YES -LL NO + 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 TOT E 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 QUESTION , S or to RE-SCHI'DULE, PLEASE CALL (817) 410-3165 or (817) 410-3166 SIGNATURE - PRINT NAME: PHONE #: EMAIL: . . . ..... Building Services Department The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 (817) 410-3165 (817) 410-3166 C: ORMSISSAPPLICATIONS-FMSTOAPP 11121124 (Rov.4-1318) Name of purchaser, firm or agency as shown on permit Phone (Area code and number) South Main Social Club, LLC 817-614-5420 Address (Street & number, P.O. 6ox or Route number) 1900 S. Main Street, Suite 105 City, State, ZIP code Grapevine, TX 76051 Texas Sales and Use Tax Permit Number (must contain I I digits) 3 2 � �1,0 5.8 1 6 2 2 Out-of-state retailer's registration number or Federal Taxpayers Registry (RFC) numberfor retailers based in Mexico (Retailers based in Mexico must also provide a copy of their Mexico registration form to the seller.) • �-Jlw is suleft-ir - # . -1 - , items described below or on the attached order or invoice) from: Seller: Street address: City, State, ZIP code: Description of items to be purchased on the attached order or invoice: Mahjong Sets, Mats, Gifts & Accessories, etc. Description of the type of business activity generally engaged in or type of items normally sold by the purchaser: Retail gift and accessories sales, hosted events, open play and league activities as well as alternative event space The taxable items described above, or on the attached order or invoice, will be resold, rented or leased by me within the geographical limits of the United States of America, its territories and possessions or within the geographical limits of the United Mexican States, in their present form or attached to as taxable items to be sold. I must pay sales tax on the items at the time of use based upon either the purchase price or the fair market rental value for the period of time used. / understand that it is a criminal offense to give a resale certificate to the seller for taxable items that I know, at the time of purchase, are purchased for use rather than for the purpose of resale, lease or rental, and depending on the amount of tax evaded the offense may range from a Class C misdem&nor to a felony of the second degree. sign Purchas z-, Title 1 Date h A ere Managing Partner 6104/2026 This certificate should be furnished to the supplier. Do not send the completed certificate to the Comptroller of Public Accounts. 0 1 -300 (Rev.7-25/22) TEXAS SALES AND USE TAX PERMIT This permit is not transferable, and this side must be prominently displayed in your place of business. may —W6TXCW—s—spy W&S P',a mziau resale certificate A cartifficale, is necessary to document why tax is not collected on a sale TAXPAYER NAME, BUSINESS LOCATION NAME and PHYSICAL LOCATION SOUTH MAIN SOCIAL CLUB LLC SOUTH MAIN SOCIAL CLUB LLC 1900 S MAIN.ST STE 105 You must Madt anew permit it there is a change or ownership, location or business location name. Type of permit SALES AND USE TAX Taxpayer number 3-21058-6162--2 Location number GRAPEVINE TX 76051-4094 00001 TARRANTCOUNTY ----- ----------- --- ------- ---- - ---- ------------- --- T- NAICS: 713990 All Other Amusement and Recreation Industries WE SHOW THIS BUSINESS IN THE FOLLOWING LOCAL SALES TAX AUTHORITIES CITY: GRAPEVINE EFF: 06/04/2026 SPD: GRAPEVINE CRIME CONTROL EFF: 06/04/2026 06/04/2026 Kel ' 4Hcock Acting Comptroller of Public Accounts You may need to collect sales andlor use tax for other local taxing authorities depending on your type of business. For additional information, see "Collecting Local Safes and Use Ta.;ie'section on the back of this document. If you have any questions regarding sales tax visit our website at www. Comptroller. Texas. Gov or call us at 800-252-5555. Detach hero and crominentiv disalav vour A)ermit oniv. Retain the Dortion below for vour records. The information printed on your permit is public information. It must be accurate and current. If there is an error, make corrections on the form below by entering your taxpayer name and taxpayer number and your corrected information for incorrect items only. Detach the form and mail it to: 111 E. 1 7th Street Austin, TX 78774-0100 4 Oil, 0 �11 Toms Sales and Use Tax Permit Corrections Form Taxpayer name shown on the permit SOUTH MAIN SOCIAL CLUB LLC Taxpayer number shown on the permit 321o586i622 --- --- --- Correct business location name Correct business location (no P.O. Box or directions accepted) 0 city Correct taxpayer name. r a Correct mailing address 0 Location number shown on the permit 0000 1.- ff you need to make changes to your local sales tax authorities or to the NAICS code printed on your permit, see information on the back of this form. State ZIP code County Daytime phone (Asa code and number) City State ZIP code i Federal Employer Identification Number JOE en If you are no longer in business, enter the date of your last business transaction. 11 - - - : Taxpayer or authorized agent sign Date here 000000222 City of Grapevine Certificate of Occupancy PO Box 95104 Project # 26-002230 Grapevine, Texas 76099 Project Description: C/O (Retail Store & Event Space) "South 917) 410-3166 Main Social Club, LLC" ADDRESS 1900 S Main St., 105 Grapevine, TX 76051 Instl Blk 6 Lot 11 PERMIT HOLDER Dorian Stacy l/,;�lvxjlv4� LLC (817) 614-5420 OWNERS - Stacy-Gv Ll+ TENANTS - Yard Art Patio and Fireplace Issued on: 07/08/2026 at 1:07 PM INSPECTIONS 1. Final Fire Dept Inspection 2. Fin.91 Building C/O Insgectim **NAME OF BUSINESS **TENANT NAME (individual) **TENANT PHONE NUMBER APPLICANT E-MAIL "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 2 3. Landscaping APPROVED FOR ISSUANCI South Main Social Club, LLC Dorian Stacy 817-614-5420 Dorian Stacy 817-614-5420 1539 32105861622 Retail Store& Event Space 1113 - SPRINKLERED B/A-3/A-2 YES NO NO NO NO YES NO NO NO NO NO YES 2 NO - Page 1/2 MYGOV.US 26-002230, 07/0812026 at 1:07 PM Issued by: Amanda Robeson MB10190=- INFORMATION FIELDS Outside Storage Signs * CONDITIONAL USE REQUIRED? * OCCUPANCY LOAD * PERMITTED USE * ZONING DISTRICT FEE Certificate of Occupancy I TOTAL PAID DUE $50.00 $50.00 $50.00 $50.00 $50.00 $0.00 o--> (if access to the building/spac is not provided at the time of 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 # 26-002230 MYGOV.us 26-002230, 07/08/2026 at 1:07 PM July 08, 2026 Date Page 2/2 Issued by: Amanda Robeson TEXAS SALES, TAX TexasSales 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: 4A Signature: ADDRESS: CITY, STATE, ZIP: OFFICE USE ONLY*** : DIV TYPE OF CONSTRUCTIOOCCUPANCYISION: N: , -4, PERMITTED USE: BUILDING DEPARTMENT: BUILDING INSPECTOR: FIRE DEPARTMENT: CONDITIONAL USE: OCCUPANT LOAD: DATE: DATE: DATE: DATE: DATE: DATE: HEALTH DEPARTMENT: DATE: CITY SECRETARY: DATE: LANDSCAPING APPROVAL:_ t;''._ DATE: . ......... .. APPROVAL FOR ISSUANCE: DATE: 110% uERITIFICATE OF OCCUPANCA **TO BE FILLED OUT BY BUILDING OFFICIAL** ZONING DISTRICT OF INSPECTION LOCATION: OCCUPANT LOAD: ...... TYPE OF BUILDING. GROUP AND DIVISION: 124004 Rt", 1,11,312(;24