HomeMy Public PortalAboutAMERICAN BEACHWEAR.pdfWILLIAM NAVON
P.O. BOX 2812
T-AREF—ISL41YO
Business Location: 17 TYBRISA STREET
Certificate #: 0003376
Date Issued: 1/22/2021
A clear pedestrian path of a minimum of 4 feet must be maintained at all times. Compliance with
ADA provision is required at all timcs. 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.
"OuRs
of s2EERAIM
Sunday
8:OOAM —
1:00AM
Monday
8.00AM —
1:00AM
Tuesday
8:00AM —
1:OOAM
Wednesday
8:OOAM —
1:00AM
Thursday
8:OOAM —
1:00AM
Friday
8:00AM —
1:00AM
Saturday
8:OOAM —
1:00AM
This Permit and plans must be displayed in a conspicuous place in your business establishment.
The City of Tybee Island must be notified of any change in status. This Permit is not transferable
and is subject to in revoke .4 if abused. This Permit expires on 1213112021
George Shaw
Planning & Zoning Manager
P.O. Box 2749 - 403 Butler Avenue - Tybee Island, Georgia 31328-2749
(912) 786-4573 - FAX (912) 786-5737
r CrrY OF TYBEE ISIAND
Wa
SI
i.., t , �.. OR MERCHANDISE ►AY
..
i 4.1
PERMIT
l 1 ►LICATION~
Application is for: Q Sidewalk Cafe ❑ Merchandise 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 Caf6 or Merchandise Display:
Sunday:
+� until
Monday:
until
Tuesday:
until
Wednesday:
until
Thursday:
until
Friday:
until
Saturday:
T;00 until—1111W AIVYIL
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 authorizationfrom the Planning and Zoning Manager.
DOCUMENTS REOUIRED WITH APPLICATION
Affidavit (must be notarized; seepage 2)
Indemnification Agreement (must be notar' ed; see page 3)
GL Certificate(s) of Insurance listing the City f Tybee Island as an additional insured (seepage 4)
• A Site Plan to scale with mea urements f the proposed sidewalk area and all items to be placed on or within it (see page 4)
O Photograph(s) of the sidew ar a (o zonal)ZN
t'
*01
Applicant's signature 4 Date
Printed name \k 1 t W" LA0
ROUTING APPROVEORDENV BY DATE
Cdy Marshal
Planning &. Zming Manager
403 Butter Avenue, P.O. Box 2749, Tybee Lslaad, Georgia 31325-2749
(912) 756-4573, ext. 9031 or 5071 FAX (912) 736-9539
www.cityo8ybee.org
FEE
Sid—ik Use Fee 30.00
A.,a apptwm on my requo
30 days or more to process.
DIRECT AN APPEAL OF PERMIT
Page 1 of 6 110912014
I, } 1 ° acting in the capacity of eO 0 & fV A U O
name 04"a' ag—, —Ploy-- ac
on behalf of the establishment known as ' (L,i .1 , t c - r,i. Flo aced at
Gah.w—
A ) Wit, 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 Poli es and Procedures and will abide by said South End Policies and Procedures at all times during
the term of the Sidewalk Cafe Merchandise Display Permit.
Notarized Signature; "�r'
Printed Name: % L L i A "°1
STATE OF GEORGIA
COUNTY OF CHATHAM
Date: T
The foregoing instrument was acknowledged before me this 11 day of , 2016 by
who is personally known to me or who has produced identification.
I
Signature of Notary Pu 'c �yV
My Commission expires:
Page 3 of 6
110912014
MINIUM4,111 I %I W-9111 I I
This Indemnification, Release and Hold Harmless Agreement is made this _ day of - 20---_, by
A\) ��O vJ�. ('APPLICA'NT-) 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.
WHEREAS, the APPLICANT is the owner or lessee of the property located at f Tybee
Island, Georgia; and,
WHEREAS, the APPLICANT has applied for a Sidewalk Caf6 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 CrTY 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 Caf6
or Merchandise Display the APPLICANT agrees as follows -
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 CaM 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 CI'T'Y, its agents, employees, or officers.
3. The APPLICANT does hereby remise, release, satisfy, quit claim, and forever discharge the CM 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 Caf6/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 pr other insurance as required by City codes, ordinances, and policies which shall name
the CITY as an additional insured and Or which the CITY will be given a current certificate. Said liability or other insurance
shall provide coverage for any suit or cJAun arising from the issuance of the Sidewalk Cafd or Merchandise Display Permit or the
use of the PROPERTY by the APPLIC
5. The terms of this Inde mnl ific tion Ag e be binding upon and inure to the benefit of the parties and their heirs, legal
representatives, successors s
Notarized signature: T
Printed name: VIJ, u, i ITJY�, oo ri
Date: / 2- /- 2- (-,)
STATE OF GEORGIA
COUNTY OF CHATHAM —ILL
Th foregoing ins gent was acknowledged before me this day of
2Q(J by
MM,,I�who is personally knovrn to me or who has produced identification. �W N�IELLS
Signature of Notary Pu is
My Commission expires:
UQ IVA
Page 3 of 6
110912014
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AC"RIDuu O CERTIFICATE OF LIABILITY INSURANCE
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CONTACT
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PRUJuL;hK
Chatham Insurance Partners
PO Box 5370
Savannah GA 31414
- ------ FAX
PHONE C
PHONE
A/ No -912-650-2808
C '
E-MAIL
ac uel n 2)chathaminsurance.com
ADDRESS:,C
b
NG COVERAGE �� NAIC #
INSURER A: 1:nsuran:ceCOmpan 10677
NAVON-1
INSURED
Silver Waves, Inc.
P.O. Box 2497
Tybee Island, GA 31328
INSURER B:
INSURER 1.
INSURER
_D
COVERAGES CERTIFICATE NUMBER: 1498510274
REVISION NUMBER: 1
HAVE
BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIST ED BELOW
THIS
ANY CONTRACT OR OTHER DOCUMENT WITH RE SPECT TO WHICH THIS
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF
THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED
BY
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN
N /
REDUCED BY PAID CLAIMS.
90 R ---
TYPE OF INSURANCE POLICY NUMBER
T
F IV P LIMITS
MMIDD MIWDWYYYY
X COMMERCIAL GENERAL LIABILITY Y ENP 0398909
9/1/2020 9/1/2021 EACH OCCURRENCE $1,000,000 w.
F_X]
CLAIMS -MADE OCCUR
MED EXP (Any one person) $5,000
PERSONAL & ADV INJURY $ II�100_10T0,
GENERAL AGGREGATE $'1 ,000,00
GEN' AGGREGATE LIMIT APPLIES PER:
PER10j D
GO J�t
POLICY 1LOC
$
OTHER- ENP 0398909
91112020 91112021 COMBINEO SINGLE LINUT
T
A AUTOMOBILE LIABILITY
BODILY INJURY (Per person) $
k ANY AUTO—
ALL OWNED SCHEDULED
BODILY INJURY accident) $
AUTOS AUTOS
NON -OWNED
Pere
ex—td-9
"T,
HIRED AS I AUTOS
$
EACH OCCURRENCE $
UMBRELLA LIAB OCCUR
AGGREGATE GATE . . . . .......
EXCESS LIAB CLAIMS MADE
—1
DED RET F NTK11
KR ko m.
WORKERS COMPENSATION
r
AND EMPLOYERS' LIABILITY YIN
E . EACH ACCIDENT----, S__
ANY PROPRIETORIPARTNERIEXECUTIVE
OFF! ERIMEMBER EXCLUDED? NIA
E.L.DBEASL-FAEMPLOYEE
(Mandatory in NH)
1Iy e ,describe under
E.L, DtSO 6E - POLICY : ul: $
DF'RIPTION OF OPERATIONS bolaw
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
with respect to the following locations:
City of Tybee Island is listed as Additional Insured as required by written contract
25 Tybrisa, 17 Tybrisa and 406 US Hwy 80, Tybee Island, GA 31328.
241 MGKenzie Avenue, 704 1st Stree#, 502 1st Street, 27 Tybrisa,
CERTIFICATE HOLDER
CANCELLATION
SHOULEk_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
AUTHORIZED REPRESENTATIVE
Tybee Island GA 31328
c 1988-2014 AC ORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
ACORD 25 (2014/01)