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Home My Public Portal About090_010_Nickie's 1971 Alcohol & Entertainment License.pdfMAYOR Jason Buelterman CITY COUNCIL Barry. Brown, Mayor Pro Tem Wanda Doyle Bill Garbett Julie Livingston John Major Monty Parks o0 CITY OF TYBEE ISLAND City Council Agenda Item Request CITY MANAGER Diane Schleicher CLERK OF COUNCIL Janet LeViner CITY ATTORNEY Edward M. Hughes Agenda Item Requests and supporting documentation must be submitted to the Clerk of Council b? 4:OOPM on the Thursday prior to the next scheduled Council meeting. If this form is received after the deadline, the item will be listed on the next scheduled agenda. Council Meeting Date for Request: October 27. 2016 Item: Alcohol and Entertainment License Request: Liquor/Beer/Wine/Sunday Sales - Entertainment Explanation: Niche's 1971 Bar and Grill Inc - Food and Bar Service (New Owner) 1513 Butler Ave Budget Line Item Number (if applicable): Paper Work: X Attached* Audio/Video Presentation** Electronic submissions are requested but not required. Please email to ileviner(a�citvoftvbee.org. ** Audio/video presentations must be submitted to the IT department at City Hall by 4:OOPM on the Thursday prior to the scheduled meeting. Submitted by: Sharon S. Shaver Phone / Email:472-5072 / sshaver@cityoftybee.org Comments: Date given to Clerk of Council October 18, 2016 .0. Box 2749 — 403 Butler Avenue, Tybee Island, Georgia 31328-2749 (866) 786-4573 — FAX (866) 786-5832 www.cityoftybee.org CITY OF TYBEE ISLAND BUSINESS LICENSE APPLICATION City ofTydeeuse onl2"y Date / New 12 �Jl r Renewal License # Business Name AA I Gi� � 1 ci'!`i f (3,, ,r2 )r, f APPROVAL (� Locon ati/ 3 . ?c4 TER_ DATE FEES Mailing Address Ici 00y 9. ti if REQUIRED Phane21- 7 YY Email �ideAr , 0 or. Co or5SN ID i -il' 0103-1 Sales Tax ID�` ' �! % 4� 9 NAILS Code : `1 ! '� 410 7� Business Type (crick. one): o Sole Proprietor Partnership Corporation $100. Transportation Fee (IC Non -Profit Other: Names and Home Addresses of Owners, Partners or Corporate Officers Home Address CrtY, State, Zip i Title (*)mes -Al L L /21�" ISM �f 6o o )1 --j-yz T� % 3i )' c�.T-rtc Describe the business you would like to license: 6W- 9imp 6-ia )( Has this business or anyone connected with this business been cited or charged with any violation of Georgia Law, Federal Law, Local Ordinance, or any Rule or Regulation of the State Revenue Commissioner or any Rule or Regulation of the Gty or County within the past 12 months? (odeme) YES or NO (If YES, indude details) Any business that requires state licensing must present state license when applying. It is the applicant's responsibility to ensure zoning conformance. If there is a question as to whether the location is zoned correctly please contact the Gty Marshal at 912-472-5098 or the Zoning Department at 912-472-5033. A schedule of regulatory fees is attached. Application for alcohol license requires a different form and city council approval. Application for live or recorded entertainment requires a separate form, annual review and dty council approval. ROUTING APPROVAL SY DATE FEES Gty Manager / Administrator REQUIRED 1000 Occupational Tax 125.00 Zoning Approval REQUIRED 9999 Administration Fee 10.00 Insurance Policy Required for 5 YES or NO $100. Transportation Fee CITY OF TYBEE ISLAND ALCOHOL LICENSE APPLICATION Application is hereby made for a license to do business within the City of Tybee Island as a dealer in alcoholic beverages as indicated below: LICENSE CLASSU-ICATION FEE CHECK Retail Beer/Wine - Package Sales Only, Consumption on Premises Prohibited $ 350 Names (attach additional pages if necesry) Beer/Wine - Sale by Drink for Consumption on Premises Only 575 L7-- /RetaRetail Retail il Liquor - Sale by Package Only, Consumption on Premises Prohibited 850 Retail Liquor - Sale by Drink for Consumption on Premises Only 1,250 , — — Retail Liquor - Sale by Package & Drink both in One Building under One Ownership 2,000 Sunday Sales of Alcoholic Beverages 150 Wholesale Beer 765 Wholesale Liquor 1,500 Wholesale Wine 150 Distiller, Brewer, or Manufacturer of Alcoholic Beverages 300 Special Event - Public or Private Property - Beer, Wine (no current license) per event 50 Special Event - Public or Private Property - Beer, Wine (no current license) 3 days 100 Special Event - Public or Private Property - Beer, Wine (holding current license) per event 10 Special Event - Business Property - Beer, Wine, Liquor (no current license) per event 50 Special Event - Business Property - Beer, Wine, Liquor (no current license) 3 days 100 Special Event - Business Property - Beer, Wine, Liquor (holding current license) per event 10 Notice: The applicant for a license shall be a citizen of the United States, a resident of Chatham County, and owner of the business or if a corporation, partnership or other legal entity is the owner, a substantial and major stockholder or the applicant may be the manager of the business charged with the regular operation of said business on the premises for which the license is issued. Business Name N1.64:‘ C ? r- 1 i3c - c., G' (--iri t _i.r 4_ Location ! Sr 'Buil c t^ 4Q z . z s }c,.-,C-�-% • 31-YZ g Mailing Address (2.6 . koc iii -17.7 toz-t - L (4c_.,3132.2 Phone 1 Phe ql'2--fig _ c..i yy Email Names and Home Addresseslof Owners, Partners or Corporate Officers with Ten Percent (10%) Interest in Business Names (attach additional pages if necesry) ! Date of Birth fi Home Addresses City, State, Zip Social Security # � . Cc_,,, Aru r� ISIS Cc•,, i tl-tt(t -7-101.•?_ —sl. (-,., 3i32ic , — — Is business incorporated? \'tS State of Incorporation (� ^. , Date Incorporated -LI - 2 (1 Names of landlord of the business location t;+n:)t ; CC %v` (cc c(Address i 7' GLS tri 44i�Z, Fr7-�li�one What other business is conducted at this location? ' JUr✓1 c (Lt—j) X02— Has application been made for required State and Federal Licenses? \f' Has applicant, any person connected with, or any person having an interest in this busines: o ever been convicted of any violation of law other than for a traffic violation? Y r S • ever served time in prison or other correctional institution? N o ever had an alcohol beverage license suspended or revoked at any time in any location? t`{ U (if answer is yes, give details) If this application is for RENEWAL of an existing license, enter License Number of existing license If business is an eating establishment, are SUNDAY sales of alcoholic beverages contemplated? ''f Z If yes, submit additional affidavit. ALL OF THE FOREGOING INFO ATION IS HEREBY GIVEN AND ALL OF THE FOREGOING STATEMENTS ARE HEREBY MADE ON OATH WILLFULLY, KNOGLY, ND �,, s UATELY, AND THE SAME IS AND ARE HEREBY SWORN TO ME TO BE TRUE UNDER PENALTY OF LAW. Applicant Sig Swc'n to and su No Public Approval Signature Date aty Manager Zoning Police City Council CITY OF TYBEE ISLAND ENTERTAINMENT LICENSE APPLICATION Business Name f.\,) i c k i c/ ..*7 ! 4 'z /7„ f /'�z_41\ J I C Location if 3 �� ' " ' ` _.,K'� C IAY J C4 ,'— J Mailing Addressec (2 F -j11 Th ' ) -7i3,9- C— /� Phone Q1�1 -74'._ yit 9 Email iisdj�A# � irfO.. Cc M FederallID # >% „ i;^`: A Sales Tax ID # '� �k , i NAICS Code '73 10 JV Business Type (circle one): Sole Proprietor Partnership rpora LLC Non -Profit Other: Names and Home Addresses of Owners, Partners or Corporate Officers Name Home Address City, State, Zip Title /� -VD f -A p y 1-0 / 4G Police Chief i A TOTAL • An establishment desiring to provide live or recorded amplified music for the entertainment of its customers shall obtain an entertainment license from the City. • An application for an entertainment license shall be made to the city manager in the name of the business establishment. • The annual fee shall be $50.00. • This license is renewable on an annual basis. A late penalty of 10% shall be assessed for a license payment made after March 31. • An establishment is exempted from the requirements of this section if the amplified recorded sound derives exdusively from a jukebox, a radio, or a digital music system supplj1 to the premises by a cable television company under the franchise of the Cit'. Applicant Signature Printed Name ` % ii 1 -MILD/ Received by Date 9- 30-16 Date /0-(i-✓1� ROUTING APPROVE OR DENY EY DATE FEE City Manager 9926 Entertainrnent License 50.00 Zoning Adminisadtor Police Chief TOTAL Reason for denial: 403 Butler Avenue, P.O. Box 2749, Tybee Island, Georgia 31328-2749 (912) 786-4573 FAX (912) 786-9539 www.cityoftybee.org The CONSENT FORM is required for ALL alcohol license applications. CONSENT FORM I HEREBY AUTHORIZE THE TYBEE ISLAND POLICE DEPARTMENT TO REQUEST ANY CRIMINAL BACKGROUND HISTORY RECORD INFORMATION PERTAINING TO ME WHICH MAY BE IN THE FILES OF ANY STATE OR LOCAL CRIMINAL JUSTICE AGENCY. BE IT FURTHER UNDERSTOOD THAT THE PURPOSE OF OBTAINING THIS INFORMATION IS TO SATISFY THE REQUIREMENTS SET FORTH BY THE MAYOR AND COUNCIL OF THE CITY OF TYBEE ISLAND, REGARDING AN ALCOHOL BEVERAGE LICENSE APPLICATION. c" � L � PRINT) ('‘Z -N" 1.->uLt6({ ADDRESS —Rwl=3:A CITY, STATE, ZIP SEX / RACE / DATE OF BIRTH The ACKNOWLEDGEMENT is required for all LIQUOR BY THE DRINK alcohol license applications. ACKNOWLEDGEMENT I declare knowledge and understanding of Municipal Code Section 58-80: There is levied an excise tax on the sale of di e+ spi . ' he dik in the amount of three percent of the charge to the public for the beverage. TORE DATE The AFFIDAVIT is required if SUNDAY SALES of alcohol for consumption on premises are contemplated. Food and beverage sales records prepared by a CPA are required to be furnished to the City upon request. STATE OF GEORGIA COUNTY OF CHATHAM LL alcohoverage license in the City consumption othe premises in 15-12 I am the P`..►��'j(--r='2 CITY OF TYBEE ISLAND AFFIDAVIT , do hereby make this affidavit to be part of my application for an of Tybee Island to sell distilled spirits, malt beverages and/or wine for the my eating establishment on Sunday. Said establishment is located at , Tybee Island, Georgia. of the establishment known as NCO 19 21 go) )( ire I hereby further state that at least fifty percent (50%) of the total annual gross food and beverage sales are derived f e sale pre tired meals or food. SIGNATOR Approved Denied ci 3G' -4g. DATE Chief of Police Date