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OUTDOORSCITY OF TYBEE ISLAND
SIDEWALK CAFE OR MERCHANDISE DISPLAY PERMIT
FUNKY FISH
ISLAND,WILLIAMNAVON
P.O. BOX 585
TYREE GA.
31328
Business Location: 1415 BUTLER AVENUE
Certificate : 02555
Date Issued: /7/
A clears pedestrian path of a minimum of 4 feet must 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
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 Aiscretion of the city. Sale transactions shall not occur on
side -walks. All sales must occur in the building.
MERCHANDISE ISPLA T
HOURS OF OPERATION
Sunday :011Ai —1:OOP
Monday 8:OOA -_ 12:0 P
Tuesday :O A M--12:OOPM
Wednesday :OOA -1 :OOP
Thursday :OOAi —1 :OOPM
Friday :OOA ti 12:001'M
Saturday :OOA 1 :OOP
This e it and plans must be displayedin a conspicuouslas in your businessestablishment.
The City f Tybee Island must be notified f any change in status. This Permitis not transferable
and ei ifu Permit s expires/1/
6
George Shaw
Planning & Zoning
P.O. Box 2749 403 Butler Avenue -"` ybee Island, Georgia 31328-2749
(912) 786-4573 e FAX (912) 786-5737
l�aasine:�s n � `
Narne o<baasin s o . ` } t Email
hone —numbets of o-'N'riev Busin Rx.ROMl�lobiie w
Namu of applicant if cath- than Email
Fhane ez fart of applicant Busmem Home Mobile
Relationsaip of applivaut to awner (swne, emplqwL, ange r, ex-) I
mailing addms of applicant
Application is for Sidewalk Caf6 Merchandise Display
1. The length and width in feet of the public right-of-way to e used
The number of tables and chairs to be provided at the Sidewalk Cafe
i
fi
3. Hours of operation of the Sidewalk Caf46 or Merchandise Display:
Sunday: % til IV 00 9M
Monday-
Tuesday:
nday;Tuesday: until
Ns. C' APOPmer
Wednesday-, until
Thursday:
Friday-
Saturday:
riday°Sa day: LaItil
Side*walkelemena of mfth and mewhanave' w he secumd dady when normal business apenwonsa ce e-
The M)Pficawshwl not replace the iwpmyed heno of chqnge changethe t urd t w ' err aulkocluotonjepm the PkmWng andZonftManager.
vit rrt r � rzot zsec�° .se�ix� )
In
d ze ' Ag,
t (rrf r �fc f a s e 3j
Affi
rtj
lcate(s} csf ce listi the zty Bybee isl d tics insured (s 4)
Szte l t sole ent f e rap sed side l a d all itemsto placed on r it (seepage 4)
Phot b(s) f tlse cle ik area zr )
r:r
fiplic tis sip
at' Date
Printed name ®� iOqI_
ROVrLNG BY EYE
C'sey An a�gtie _ v rig ire
30 w awry to prw
DIRECr ° P.a'P LiAL.OF Pi-.RNOT
$aaSmRm& 8'. zwns Auva DE seat, TO THE C°U"Y MsFaNAC.aY' R �
03 Batter Awr'im, P.0, Box 2749, Tybec: IAw4G=rgai 3132$
(912) 472-5033 FAX (912) 786-9539
LschaaAgcityoftybee.org
Page 1 qf6 121,14P-012
!, w tiny in the capacity of }
mowows m & _ ,. ems
T—
on be of the es bits ent known as � located at
Iq Tybee Island, Georgia, est to the following:
.i have reviewed This application and all entries are correct and accurate to the best of my I owledge.
There are no omissions of fact.
Them are no items located sire the sidewalk where the Sidewalk a or Merchandise Display is proposed that would prohibit the
Planning d Zoning Manager from issuing a Sidewalk CaJ56 orMerchandise Display Permit.
No violation(s) of Georgia Law, Federal Law, Local Ordinance, or any"Rale or Regulation of the Stag 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, gr,
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:
I Have read the South End policies and Free dares and will abide by said South End policies and Procedures at all times during
the term of the Sidewalk Caf6 or Merch se Display Permit.
No .od Si a Date' 1
j
Printed e: t,_), G l C4,t
STATE Of GEORGIA
COUNTY OR CHATHAM
oft
Elie foregoing'7 t acknowledged before roe this day
a o fly by
g
1 vvho is personally known to me orw ho Inas produced identification.
d
4/ �
My cornmissi n e ices
'00,C?
Feaq gab 721141201.2
e� p\.l z;
4a �
INDENINDICATION
(RELEASE
This Indemnification, Release and Hold Harmless Agreement is made this day of "'20 ,ley
���� - , _ C-0 PI,ICAN I-) for the benefit of the City T'ybee Island, Georgia ("CITY"), When
referred to herein, the CITY means the Planning and Zoning Manager, the municipality, its City Council, and each member thereof
d its officers, employees, advisory board members and representatives.
WHEREAS, the APPLICANT is the owner or lessee of the property located atHs � T°ybee
Island, Georgia-, and,
WHEREAS, the APPLICANT has applied for a Sidewalk
Card or Merchandise misplay Permit for the temporary use of the sidewalk
area abutting the property described above pursuard 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,
WIIEREAS, the APPLICANT is authorized to and has obtained all necessary approvals for this Agreement,
NOW, THEREFORE, in consideration of the CITY allowing he APPLICANT to use the public right-of-way for its Sidewalk" Caf
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 a result or consequence of the issuance of the Sidewalk
Cafe or Merchandise Display Permit or the use of the PROPERTY Y y the APPLICANT or thein family, officers, agents,
representative, guests, employees, invitees, or persons contracting with either or any of them or occasioned by an act or omission,
ncglcct, or wrongdoing of the APPUCANT 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 expease, 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
y ofthem, occasioned by an act or omission, neglect, or wrongdoing of the APPLICANT or their family, officers, agents,
representative, guests, employees, es, invitees„ or persons contracting with either or any of them. Noiths g the foregoing, this
should not be construed so as to require the applicant or anyone else. to ° der znify the CITY for cls ` .ss arising tiro . the scale
negligence ofthe CITY, its agents, employees, or overs.
3. The APPLICANT
does hereby remise, release, satisfy, quit claim, d forever discharge the CITY tram 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 Caf-UMerchandise 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 d for which the CITY will be given a current certificate. Said liability . other insurance
shall provide coverage for any shit or claim arising from the issuance of the Sidewalk Cafe or Merchandise Display Peril -lit or the
e of the PROPERTY by the ADPL CANT.
5. The terms of this Rade i catlo e ent shall be binding upon and inure to the benefit of the pardes, and their heirs, legal
representatives, succ cors a
Notarized si at e;
t.
Printed name-, i
Date: _ _
STATE OF GEORGIA
COUNTY OF CHATHAM
The foregoing in rat was acknowledged before me this � day ot, 0& "_ , by
g gg
-� '���_� who is personally kttcsvvza to me or who �1 'E ced identification.
OELL6 0k,
Signature of No One ��' �`��' o"'
c°
My Ceatr�zxtis iorz eacpires: � s;x � ter® Ci CTAR� _
_.. m_...._
u'2
Page 3 of 'fl 1Ca 12174MI2
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IA DATE (NUNUDA-YM
AAC"RIJ CERTIFICATE OF LIABILITY INSURANCE m
1 /13f2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EN ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE. ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder Is an ADDITIONAL IN URE ,, the policy(fes) must he endorsed. If SUBROGATION IS WAIVED, sui sect to
the terms and conditions of the policy, certain policies may require ars endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAGE___.__ J�L`�uera i"ttuker
Chatham Insurance Partners, LLC; PHONE �FAX
2502 IiabesSha t.SL a
E,912-650-2808._ LAiN�.
avans'lah GA 31401 EassAI jqc ch tharrsnsuranee.corrt
rNu#rRER's"} AtmE RoRG COVERAG€r. NAiD #
#,.292 Rt, INSURER A: CINCINNATI INSURANCE COMPANY 10677
INSURED NAVOENy —O S....., INSURER R :
Silver Waves, Inc. _ _ ,
Insurance Department tNsstRER _c
P,O. Box 2491 MEUR R 0
...__ ... _... _ _.., .. w.
Tybee Island GA 313213 INSURER E .
lNsuR�� r
COVERAGES CERTIFICATE NUMBER, 1712554977 REVISION NUMBS
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN €SSUED TCS THE €P3SURED NAMED ABOVE FOR Tlia_ POL€(;Y E ERIO )
€ND€C"ATECD, 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 TC) ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLADS.
-.I _._.,_. _.._ v IN
,_... O INSURANCE AIaDL lTs1 , _ .........�._ POLICY NUMBF p V cFF _€ € JCC ExP _z..._...._.- .__
TYP'E......m__.._... fYY"YY � LIMITS
A A COMMERCIAL GENERAL UAWLITY � Y ENP 039a9C s EACH OCCURRENCE S 1,000 aS(Q
CLAICSS-MADE X OCCUR � i PR6 G4€EES (E.,a sof urrera r p i S 5f16.,060
I ( ( €
MED EXP ran x -rte a,emvO { T SREtY,
....
PERSONAL & ADA INJURY � y ; D": u 1"rq
j GE3aR L At,,GREGAJL E L;RAf: APPLIES PER E. GENERAL ACC REG ATE ,a 'ttiC -sir+
PRO -
POLICY Y € € ,JECT i Loc PRODUCTS - tiT0M'P _,P AUGs 2,000J= ...
OTHER'. rw..
s Ait7`i? OF9tLE LrASlk.t"rY : CO,VBNEJ SINGE LIMIT
r
i AN'V AUTO BODILY INAIRY (Por person' i
("_... ALL 0INNED SCHEDULED ECfD€LY INddIfiHY ,6 e,r ;acerc#x rt; sr
ALTOS AUTOS
N 14ANNIEl`t
HIREi> AUTOA4 t i.@."( S
------------
UMBRELLA LdAR OCCUk € .. EACH OCCURRENCE �
EXCESS LKS CLAIM(.9AC7E AGvNiEGATF
DE' RETENTKANL a
WORKERSCO PENSa4TION ? { P Ir a.Fa
I
AND EMPLOYERS`LKBILITY, yS7asiUTE
YIN'
_.,_ER__.�
ANY PRCi FxI-�IETORIPAR'FNEItIEXE.CUTIVE I El,EACH
€ O RGER Ga"r�RBER EXCLUG ii'z Pr F A .. _....,..w..__ ..._
;(Mandata fy In Heli � E,L r.DrSarn�c FA EMPLOYEEIt Y a,;a+r_r`betmtar= ,.....,.__ ._.._... _ _ _
3 ibESCR€PTON OF OPERATIONS Wo,is E.L EA§SEASL-- -POLICY C€hfkT t "�
� ► s
17 TybrisaAve, Tybee Island, GA 31328 (Silver Waves Inc.)
23 Tybrisa St, Tybee Island, GA 31328 (Funky Fish, Inc,)
25 Tybrisa Ave, Tybee Island, GA 31328 Silver Waves, Inc.)
t
�Sitver Waves, Inc.)
201 McKenzie Ave, Tybee Island, GA 31328 (201 McKenzie, LLC)
211 Butler Ave, Tibeo Island, GA 31328 (Funky Fish, Inc.)
406 US Hwy 80, 1 ybee Island, GA 31328 (406 US Hwy 80. LLC)
See Attached...
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH'THE POLICY PROVISIONS,
City of Tybee Island
401 Butler Avenue
Tybee Island CIA 3132$ ALDTHORErr REPRESENTATIVE
C7c 1980-2014 ACCRC CORPORATION. All rights reserve
CORD 25 (2014101) The ACORD name and logo are registered marks of ACORD