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CITY OF T BEE ISLAND
SIDEWALK CA Ft OR. MERCHANDISE DISPLAY PE1011T
ALOHA GIFT
WILLIAM NAVON
1
TYBEE ISLAND, GA. 31328
BusinessLocation:
Certificate #: 435
Date Issued: 1/20/2022
A clear pedestrian pada of a minimum of 4 feet rrrdst be maintained at all times. Compliance with
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,
€ peration 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 o
sidewalks. All sales must occur in the building.
MERCHANDISE DISPLAY
HOURS OF OPERATION
Sunday. 8:00—1:00AM
Monday __:OOA —1:OAIii
Tuesday :OOA — 1:00AM
Wednesday ay :O X1.M — 1:00AM
Thursdav :O A 'I ®- I:OOAiti
Friday v ® A — 1: 0A
Saturday . A — 1:00AM
This ; Permit and plans must be displayed in a conspicuous place in . business establishment.
The City of Tybee Island muste notified of any change in staters. This Permit is not transferable
and is subject to being revoked if a . This Permit expires /
1,
George Shaw
Planning i r
P.O. Box 2749 - 403 Butler Avenue - Tybee Island Georgia 31328-2749
(912) 786-4573 - FAX (912) 786-5737
CITY OF TYBEE ISLAND
SIDEWALK CAFt OR MERCHANDISE DISPLAY
PERMIT APPLICATION
Business Warne �` L i.! Cc.: k„
APPROVE OR DENY
Street address 9) 't
DATE FEE
Mailing address 7 t3 w
Name of business owner: t l ff i1 C t` Email
1 ° t . ru la l c l„.
Phone numbers of owner: Business Home
Mobile
Name of applicant if other than owl: i (,j v�f'J Email , a 1_VC ✓e”. Lu"VtUfr � C.
Phone numbers of applicant: Businessa Home
c(.ko
Mobile
Relationship of applicant to owner (same, employee, agent, etc) OVIA yv r I W, t
Mailing address of applicant ,. - t a , I " ( SL k VV C
Planning & Zoning Manager
Application is for: 13 Sidewalk Cafe 13 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 "Cafe or Merchandise Display:
Sunday: ,; .. �,..e1 until -tally�
Monday: until
11,1111"IrTCE U1111" OWL y
Tuesday: until ; "zwww"o,
Wednesday: until
Thursday: until
Friday: until
Saturday: .a'd`t, until
Sidewalk elements of cafes and merchandise displays must be secured dally 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
Affidavit (must be notarized; seepage 2)
Indemnification Agreement (must be notarized,' seepage 3)
KM Certificate(s) of Insurance listing the City of Tybee Island as an additional insured (seepage 4)
A Site Plan to scale with measurements ,of the proposed sidewalk area and all items to be placed on or within it (see page 4)
Photograph(s) of the sidew Ilk area ( tional)
p j. Date
Applicant's signature
Printed name ) a L 1- P IN 0 /A U�. �
ROUTING
APPROVE OR DENY
BY
DATE FEE
Sidewalk Use Fee $0.00
City Marshal
An application may require
30 days or more to process.
DIRECT AN APPEAL OF PERMIT
Planning & Zoning Manager
DENIAL TO THE CITY MANAGER
403 Butler Avenue, P.O. Box 2749, Tybee Island, Georgia 31328
(912) 472-5033 FAX (912) 786-9539
Las haaf�cr�cityoftybee,or
12/14/2012
Page I of 6
AFFIDAVIT
IW rj A\Jt0 acting in the capacity of `? $ PJ A' ' ^
0 owner, agent, employee, etc.
name
on behalf of the establishment known as L a L K- _. F � d€ / anl�i4 ° QI `" located at
busaitess name
' Tybee Island, Georgia, attest to the following:
street address
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 Cafe or Merchandise Display Permit.
Notarized Signature: X"--1 in Date:
ol
Printed Name:.i`i
STATE OF GEORGIA
COUNTY OF CHAT
The f reoing instrument was cknowledged before me this day of _ i 20 by
I ( ho is personally known to me or who has produced i entification.
— - ''k%tt111111tg®
e
EXP/y-%.Q
Sig ature of Notary ublic m ` Y i
.
o
to cv.
My Commission expires: 1 e� Ply ry�r
Page 2 0 6 0 1 ** ��� J�bR� �® 12/14/2012
INDEMNIFICATION AGREEMENT
(RELEASE AND HOLD IL4 &VILESS A GREEIVIENT)
This Indemnification; Release and Hold Harmless Agreement is made this day of 20 , by
. 1 l l _, ("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.
WHEREAS, the APPLICANT is the owner or lessee of the property located at `" °" rl 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,
W, 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. 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 Cafd/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 claim arising from the issuance of the Sidewalk Cafe or Merchandise Display Permit or the
use of the PROPERTY by the APPLICANT.
5. The terms of this Indemnification eement shall be binding upon and inure to the benefit of the parties and their heirs, legal
representatives, successo and as S.
Notarized signature.
Printed name: I L- t11m 1, ry AJ t\
Date:
STATE OF GEORGIA
COUNTY OF CHATHAM
The foregoing instrument w s cknowledged before me this day of 202Lby
who is personally known to me or who has 1� t ' _ ation.
ignature of Not Pub c p a�� O� p� }° �s
orCC
My Commission expires:�,
® Pt} tiq
�� ®� 12114/2012
Page 3 of6 �� ".®JULY 2.50" ~�, �
.......•. �
"14110
r
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY)
1 /13/2022
'TE IS ISSUED AS A MATTER OF INFORMATION ONLY r CONFERS NO RIGHTS _ UPON THE CERTIFICATE HOLDER.
DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
INSURANCECERTIFICATE
BELOW. THIS CERTIFICATE OF DOES NOTsCONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR ' r AND THE CERTIFICATE HOLDER.
o..
IMPORTANT: .- rK rINSURED, the be endorsed. If SUBROGATIONWAIVED, subject
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
.r
PRODUCER
InsuranceChatham Partners,
2502 .b a):912-650-2808
GA 31401
, i r
POLICY EFF
MM)DDIYYYY
ADDRESS: lacquelyn@chathaminsurance.com
AFFORDINGSavannah
i
INSURER A: CINCINNATI INSURANCE COMPANY
i,
INSURED tr
Silver Waves, Inc.
9/1/2021
Funky Fish, Inc.
INSURER C:
$1,000,000
Insurance
Box 2497
Tybee Island GA 31328
INSURER F:
WK01VA 1:1-1110 It iRSI 1141 _ r •r +• 7=1�1F Cl k�►ll tril i:l.:
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 BY PAID CLAIMS.
PE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM)DDIYYYY
POLICY EXP
MMP@@
LIMITS
CIAL GENERAL LIABILITY
Y
ENP 0398909
9/1/2021
9!1/2022
EACH OCCURRENCE
$1,000,000
�
DAMAGE TO RENTED
MS -MADE L J OCCUR
PREMISES Ea occurrence
$ 50,000
r
MEQ EXP (Any one person)
$5,000
PERSONAL & ADV INJURY
$1,000,000
GATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
PRO -
POLICY JECT D LOC
:
PRODUCTS - COMP/OP AGO
$ 2,000,000
$
1] OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accidgntj__.
$
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
_ AUTOS AUTOS
:
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
NON -OWNED
HIRED AUTOS- AUTOS
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION$
$
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY Y / N
IPER I I OTH-
STATUTE ER
ANY PROPRIETOR/PARTNERIEXECUTIVE
E.L_ EACH ACCIDENT
$
"
OFFICER/MEMBER EXCLUDED? ❑
N / A
-------...
.
(Mandatary in NH)
E.L. DISEASE - EA EMPLOYEE
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
Aloha Gifts 25 Tybrisa Tybee Island, GA 31328
American Beachwear .17 Tybrisa Tybee Island, GA 31328
Waves 704 1st Street Tybee Island, GA 31328
Island Style 502 1 st Street Tybee Island, GA 31328 "
Waves 27 Tybrisa Tybee Island, GA 31328
High Tide 406 1st Street Tybee Island, GA 31328
CERTIFICATE HOLDER CANCELLAT
SHOULD 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 AUTHORIZED REPRESENTATIVE
®1988.2014 ACORD CORPORATION. All rights reserved.
ACORD 2 (2014/01) The ACORD name and logo are registered marks of ACORD