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Home My Public Portal About2022 Alcohol Licensing Application CITY OF TYBEE ISLAND BUSINESS AND 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 CLASSIFICATION FEE CHECK 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. Retail Beer/Wine – Package Sales Only, Consumption on Premises Prohibited $ 730. Retail Beer/Wine – Sale by Drink for Consumption on Premises Only 760. Retail Liquor – Sale by Package Only, Consumption on Premises Prohibited 1130. Retail Liquor – Sale by Drink for Consumption on Premises Only 1600. Retail Liquor – Sale by Package & Drink both in One Building under One Ownership 2,000 Sunday Sales – Sale by Drink for Consumption on Premises Only 150 Sunday Sales – Package Sales Only 50 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 Business Name Business Location Mailing Address Phone Email Federal ID#: Sales Tax ID: NAICS Code: Business Type(Circle One): Sole Proprietor Partnership Corporation(State) Date: LLC Non-Profit Other: Names and Home Addresses of Owners, Partners or Corporate Officers with Ten Percent (10%) Interest in Business Names (attach additional pages if necessary) Date of Birth Home Addresses City, State, Zip Social Security # Security Assistance Plan What measures are taken to mitigate/control underage drinking? ______________________________________________________________ ____________________________________________________________________________________________________________________ Please state whether you will be using Security Guards:______ If so, how many? _____How often / Seasonal dates?______________________ ____________________________________________________________________________________________________________________ Do you use off-duty police officers to provide security? ____ Number: __________Frequency?________________________________________ ____________________________________________________________________________________________________________________ Per City Ordinance (6-2021) All licensees are required to have proof of their employees, those serving or pouring alcohol, current certificates of completion from an alcohol server training program on file with licensee. Is the building capacity notice clearly posted? Where? _______________________________________________________________________ How is occupancy load enforced? International Fire Code 2018 ed: [BE] 1004.9 Posting of occupant load. Every room or space that is an assembly occupancy shall have the occupant load of the room or space posted in a conspicuous place, near the main exit or exit access doorway from the room or space, for the intended configurations. Posted signs shall be of an approved legible permanent design and shall be maintained by the owner or the owner’s authorized agent. If special event, date(s) of event Name of event: Names of landlord of the business location Address Phone What other business is conducted at this location? _ Has applicant, any person connected with, or any person having an interest in this business: o ever been convicted of any violation of law other than for a traffic violation? o ever served time in prison or other correctional institution? o ever had an alcohol beverage license suspended or revoked at any time in any location? (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? o Proof of liquor liability insurance: Please attach the current declaration page or certificate of insurance showing the required liquor liability insurance coverage. ALL OF THE FOREGOING INFORMATION IS HEREBY GIVEN AND ALL OF THE FOREGOING STATEMENTS ARE HEREBY MADE ON OATH WILLFULLY, KNOWINGLY, AND ABSOLUTELY, AND THE SAME IS AND ARE HEREBY SWORN TO ME TO BE TRUE UNDER PENALTY OF LAW. Approval Signature Date Applicant Signature Date Sworn to and subscribed before me this day of , Notary Public City Manager Zoning Affidavit Verifying Status for City Public Benefit Application By executing this affidavit under oath, as an applicant for a City of Tybee Island, Georgia, Business License or Occupation Tax Certificate, Alcohol License, Taxi Permit, Contract, or other public benefit as referenced in O.C.G.A. Section 50 -36-1, the undersigned applicant representing (name of business), verifies one of the following with respect to my application for public benefit: 1) I am a United States citizen. (document example: Driver’s license, US Passport, US Military Card, etc.) OR 2) I am a legal permanent resident of the United States (document example: I-551 Permanent Resident Card, Certificate of Citizenship, etc.) 2) I am a qualified alien or non-immigrant under the Federal Immigration and Nationality Act with an alien number issued by the Department of Homeland Security or other federal immigration agency. My alien number issued by the Department of Homeland Security or other federal immigration agency is: (document example: Temporary Resident Card; Employment Authorization Card, etc.) - The undersigned applicant also hereby verifies that he or she is 18 years of age or older and has provided at least one secur e and verifiable document, as required by O.C.G.A. § 50 -36-1-(e), with this affidavit. The secure and verifiable document provided with this affidavit can best be classified as: In making the above representation under oath, I understand that any person who knowingly and willfully makes a false, fictit ious, or fraudulent statement or representation in an affidavit shall be guilty of a violation of O.C.G.A. § 16-10-20, and face criminal penalties as allowed by such criminal statute. Signature of Applicant Date Printed Name SUBSCRIBED AND SWORN BEFORE ME ON THIS THE DAY OF , 20 Notary Public My Commission Expires: PLEASE COMPLETE THIS AFFIDAVIT AND SUBMIT A COPY OF THE IDENTIFICATION DOCUMENT (front and back) FROM THE LIST ON THE BACK OF THIS FORM. PRESENT IN PERSON AT 403 BUTLER AVE OR FAX TO 912- 786-5832 OR E-MAIL TO: SSHAVER@CITYOFTYBEE.ORG . REFERENCE YOUR BUSINESS LICENSE NUMBER IN THE SUBJECT LINE OF YOUR E-MAIL Note: O.C.G.A. § 50-36-1(e)(2) requires that aliens under the federal Immigration and Nationality Act , Title 8 U.S.C., as amended, provide their alien registration number. Because legal permanent residents are included in the federal definition of “alien”, legal permanent residents must also provide their alien registration number. Qualified aliens that d o not have an alien registration number may supply another identifying number below: