HomeMy Public PortalAboutALOHA GIFT.pdfP.O. BOX 2812
MWVF,F, 113ZY
Business Location: 25 TYBRISA STREET
Certificate H: 435
Date Issued: 1/22/2021
A clear pedestrian path of a mininitim of 4 feet must be maintained at aH times. Compliance witb
ADA provision is required at all times. A sidewalk element shall not be permanently attached to
the sidewalk. Sidewalk elements shall be stacked/set aside immediately upon ceasing daily
operation and must be secured in such a manner as to prevent their use. Use of the right-of-way
may be temporarily suspended at the discretion of the city. Sale transactions shall not occur on
sidewalks. All sales must occur in the building.
Sunday
8-00AJTt —
1:00AM
Monday
8:OOAM —
1:00ANI
Tuesday
8:00ANI — 1:00AM
Wednesday
8:OOAMT —
t:00ANI
Thursday
8:00ANI —
1:00AM
Friday
8:00ANI —
1:OOAM
Saturday
8:00ANI —
t.
and
YWfWMh-MM'P2ff 97ff1M-0-9T&TQIT
The City of Tybee Island must be notified of any change in status. This Permit is not transferablz
and is subject to being revok d if abused. This Permit expires on 1213112021
George Shaw
Planning & Zoning Manager
V
(912) 786-4573 - FAX (912) 786-5737
CITY OF TYBEE
ISLAND
SIE
■� ` ' OR MERCH ANDISE DISPLAYi PERMIT ► ►
LICATION
FOR OrTTCF tl3E ONLY
oare Re^-..Ived
New ur Reacnal
license Numoer
Business name d ' toj 6," .tC',
3. Hours of operation of the Sidewalk Cafe or Merchandise Display:
Street ZZ5- „ dL is -1$ ` 13 y2 3 L-, rA j CK
4 a t k 3 Z-6
Mailing address � . .. £ t ri �[.
Name of business owner: I £> t N 1163 T\3
Email ` E L_W )C:,, L(: sw
Phone numbers of owner. Business a " Rome
Mobile
Name of applicant if other than owner. t t 1.1 y r=..
Email 'Imtr� p 7 3a-
Phone numbers or applicant Business l x c Lorne
Mobile
Relationship of applicant to owner (same employee, agent" erc)
kOO until A,,
Mailing address of applicant 3 `
Application is for: 0 Sidewalk Cafe(7�18rchnndise Display
1. The length and width in feet of the public right-of-way to be used:
2. The number of tables and chairs to be provided at the Sidewalk Cafe:
3. Hours of operation of the Sidewalk Cafe or Merchandise Display:
Sunday:
until
Monday:
until
Tuesday:
until
Wednesday:
until
Thursday:
until
Friday:
until
Saturday:
kOO until A,,
Sidewalk elements of cafes and merchandise displays must be secured daily when normal business operations cease.
The applicant shall not replace the approved items or change the layout without written authorization from the Planning and Zoning Manager.
DOCUMENTS REQUIRED WITH APPLICATION
83 Affidavit (must be notarized; seepage 2)
Indemnification Agreement (must be n arued; see page .3)
Certificate(s) of Insurance listing the ty of Tybee Island as an additional insured (seepage 4)
❑ A Site Plan to scale with measurem. s of the proposed sidewalk area and all items to be placed on or within it (see page 4)
❑ Photograph(s) of the sidewplk area ptional)
Applicant's signature V 1
Printed name w, LU l trva ► rj tl
Date
ROLTINCk
APPROVE OR DEYi i'
$Y
DATE
FEE
Cay Marshal
Sidewalk Use Fee $0.00
An application may reyui e
30 days or more to process.
DIRECT AN APPEAL OF PERMIT
6FNlAL.TO "CHC CITY MANAGER.
Planning&. Toning Manager
403 Butler Avenue, P.Q. Box 2749, Tybee Island, Georgia 31328-2749
(912) 786-4573, ext. 5031 or 5071 FAX (912) 786-9539
www.cityoftybee.org
Page 1 of 6 110912014
I, t l t` A`d'o fJ acting in the capacity of Ox, lo- _. G
name owner, ag—, employ- ere
on behalf of the establishment known as "" d t..iJ �'°�
K4 - J' -C
f4-qJ&t i c: it AJ L t ... located at
1-366
t'6 11 r' Tybee Island, Georgia, attest to the following:
o I have reviewed this application and all entries are correct and accurate to the best of my knowledge.
o There are no omissions of fact.
o There are no items located on the sidewalk where the Sidewalk Cafe or Merchandise Display is proposed that would prohibit the
Planning and Zoning Manager from issuing a Sidewalk Cafe or Merchandise Display Permit.
o No violation(s) of Georgia Law, Federal Law, Local Ordinance, or any Rule or Regulation of the State Revenue Commissioner,
or any Rule or Regulation of the City of Tybee Island or Chatham County have been adjudicated against this business within the
last 12 months preceding the date of the application, or,
o The following violation(s) of Georgia Law, Federal Law, Local Ordinance, or Rule or Regulation of the State Revenue
Commissioner, or Rule or Regulation of the City of Tybee Island or Chatham County have been adjudicated against this
business within the 12 months preceding the date of the application:
o I have read the South End Policies and Procedures and will abide by said South End Policies and Procedures at all times during
the term of the Sidewalk Cafd or Merc ndise Display Permit.
Notarized Signature:
Printed Name: a LL 9 A- mr, N A 4
STATE OF GEORGIA
COUNTY OF CHATHAM
Date:
The instrument before this
day o 20 by
oregoing was acknowledged me
-C-:� ,
who is personally known to me or who has produced identification.
itlgl�
NO LAN6C ®�
Signature of Notary Pulxli
My
y
Commission expires:
M.
Page 2 of
n
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Y,®�®
14#111111110%
110912014
This Indemnification, Release and Bold Harmless Agreement is made this day of 20_ by
1 -Q-A - r ("APPLICANT") for the benefit of the City Tybee Island, Georgia ("CITY"). When
referred to herein, the CITY means the Planning and Zoning Manager, the municipality, its City Council, and each member thereof,
and its officers, employees, advisory board members and representatives.
the APPLIC is the owner or lessee of the property located at _ °i,41 Tybee
Island, Georgia; and,
WHEREAS, the APPLICANT has applied for a Sidewalk Cafe or Merchandise Display Permit for the temporary use of the sidewalk
area abutting the property described above pursuant to City Codes, ordinances, and policies and is required thereby to indemnify,
defend and hold and save the CITY harmless for its use of the public right-of-way (hereinafter collectively the "PROPERTY"); and,
WHEREAS, the APPLICANT is authorized to and has obtained all necessary approvals for this Agreement,
NOW, THEREFORE, in consideration of the CITY allowing the APPLICANT to use the public right-of-way for its Sidewalk Cafe
or Merchandise Display the APPLICANT agrees as follows.-
1.
ollows:1. The above recitals are true, and correct and are incorporated herein by reference,
2. The APPLICANT agrees to indemnify and hold and save the CITY harmless from any and all damages, loss or liability occurring
by reason of any injury of any person or property which may occur as a result or consequence of the issuance of the Sidewalk
Cafe or Merchandise Display Permit or the use of the PROPERTY by the APPLICANT or their family, officers, agents,
representative, guests, employees, invitees, or persons contracting with either or any of them or occasioned by an act or omission,
neglect, or wrongdoing of the APPLICANT or their family, officers, agents, representative, guests, employees, invitees, or
persons contracting with either or any of them. APPLICANT will, at their own cost and expense, defend and protect the CITY
against any and all such suits, claims or demands which may be claimed to have arisen as a result or consequence of or in
connection with the issuance of the Sidewalk Cafe or Merchandise Display Permit or the use of the PROPERTY by the
APPLICANT or their family, officers, agents, representative, guests, employees, invitees, or persons contracting with either or
any of them or occasioned by an act or omission, neglect, or wrongdoing of the APPLICANT or their family, officers, agents,
representative, guests, employees, invitees, or persons contracting with either or any of them. Notwithstanding the foregoing, this
should not be construed so as to require the applicant or anyone else to indemnify the CITY for claims arising from the sole
negligence of the CITY, its agents, employees, or officers.
3. The APPLICANT does hereby remise, release, satisfy, quit claim, and forever discharge the CITY from any and all actions, suits,
claims or demands that they ever had, now has, or may have in the future against the CITY as a result of the granting of the
Sidewalk Cafe/Merchandise Display Permit or because of the use of the PROPERTY by the APPLICANT or their family,
officers, agents, representatives, guests, employees, invitees, or persons contracting with either or any of them.
4. The APPLICANT will maintain liability or other insurance as required by City codes, ordinances, and policies which shall name
the CITY as an additional insured and for which the CITY will be given a current certificate. Said liability or other insurance
shall provide coverage for any suit or aim arising from the issuance of the Sidewalk Cafe or Merchandise Display Permit or the
use of the PROPERTY by the APPL ANT.
5. The terms of this Indem ification reement shall be binding upon and inure to the benefit of the parties and their heirs, legal
representatives, successo gns.
Notarized signature:
Printed name: % r4 q 0 N
Date: Z
STATE OF GEORGIA
COUNTY OF CHATHAM
Th fore Ding instrument was acknowledged before me this day o ®. 20 by
who is personally known to me or who has produced
ide ® ®
Signature of NotaryPnh c ®,®+GpMrs.�",
My Commission expires: t
M
Page 3 of 6 1109/2014
0
DATE M.
to CERTIFICATE
.... LIABILITY
INSURANCE
• • «
i Tucker
..
.O —NAME FAX
Chatham Insurance Partners• • • r i.•yAIC No,
PO Box 0A7DmDAR1LEss:• @
Savannah GA 31414 INSURER(S) AFFORDIN COVERAGE
_10677
INSURED
Silver Waves, Inc.
P.Q. Box 2497
Tybee Island, GA 31328
COVERAGES CE TIFIC TEN :1498510274 REVISION NUMBER, 1
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS
,.
POLICY EF' � 1: EXP LIMITS
!NSR TYPE OF INSURANCE POLICY NUMBER MM10DtYYYY MMtnl]/YYYY
LTR - - 9/1/2020 9/1/2021 EACHOCCURRENCE $,1000000___,"
A X. COMMERCIAL GENERAL LIABILITY Y ENP 0396909 & D;`to 3 RCPPLCt
1 (C M69 $ .t occtni"' C'ei $ 500,000
¢CLAIMS -MADE X OCCUR
"� ---- MED EXP (Any one persrtn@ $ 5 SSCSO
PERSONAL & ADV INJURY $ 1 OOO Oslo
I..._. GENERAL AGGREGATE $ 2 0DO 000
GEN L AGGREGATE LIMIT APPLIES PER
❑ PRO- I I LOC f'6tC1DUCTS COMP/OP A.GG 5�2 000
POLICY JECT $
OTHER CONISINE, INGLE LIMIT $
A AUTOMOBILE LIABILITY
_. i ENP 0398909 :: _. 9[1/2020 9/1!2021 {E� ccrc9prntl.�. .w_ 1 VX IkI.rO:,,nu
BODILY INJURY (Per person) $
V. X _
ANY AUTO BODILY INJURY (Per accident) $
ALL OWNED 4 SCHEDULED ---I'---
LL
_
AUTOS y�N. AUTOS PROPERTY DAMAUE. $
NON -OWNED pq 'nre.[tleYbl ®..�,_..,.. �..,. ..,..... _..M ...�.
I HIRED AUTOS _..AUTOS _,�
.:.UMBRELLA LIAB _. _.. _...
EACH OCCURRENCE _ ... _ $.
OCCUR
—_- AGGREGAIE ...$:.
_...'.. EXCESS LIAB u,...,......—..�, ...._.,..._�..
%t,.AIMS MADE'. — .."—._�....�— ..
$
DED RETENTION $ _.. - _. _ PER TH.
WORKERS COMPENSATION SYATUT - v.... Ewa ., . .•.— --,
AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $_, , ...
ANY PROPRIETOR/PARTNERIEXECUTIVE`' N I A
OFFICERIMEMBER EXCLUDED? E L DISEASE EA EMP! DYLF. _$
(Mandatory inNHl _.. .._ .,..._.,.— ._
If yes, describe under E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS below '
DESCRIPTION QF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101..,. Additional Remarks Schedule, may be attached if more space is required)
City of Tybee Island is listed as Additional Insured as required by written contract with respect to the following locations:
201 McKenzie Avenue, 704 1st Street, 502 1st Street, 27 Tybrisa, 25 Tybrisa, 17 Ty�lrisa and 406 US Hwy 80, Tybee Island, GA 31328.
3
d
CERTIFICATE HOLDS
CANCELLATION
SHOUL ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE 'EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Tybee Island
401 Butler Avenue
Tybee Island GA 31328
ACORD 25 (2014101)
AUTHORIZED REPRESENTATIVE
I�
O 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD