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CITY OF TYBEE ISLAND
SIDEWALK CAFE OR MERCHANDISE
SEAGULLS
P.O. BOX 585TYBEE ISLAND, GA. 31328
Business Locat23A TYBRISA STREET
ion:
Certificate : 02776
Date Issued: 1/17/2022
A clear pedestrian pith of a minimumof 4 feet must be maintainedat all times. Compliance with
A 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
ay be temporarily suspended at the discretion of the city. Sale transactions shall not occur on
sidewalks. All sales must occur in the building.
MERCHANDISE DISPLAY
HOURS OF OPERATION
Sunday 8:00AA1— 1.:PI
Monday :0 Ai 12:OOPM
Tuesday :OAi—12:OPM
Wednesday :OOAV1-12:OPM
Thursday S:OOA_ --.1 : OP
Friday :OOAIN—12:OOP1
Saturday :OOAI .2:OPf
This Permit and plansmust be displayed in a conspicuous place in your business establishment.
The i of Tybee Island must be notified of any change in status. This Permit is not transferable
and is subject to being revoked if abused. _This Permit expires on 12/31/2022
George
Planning & Zoi r
P.O. Box 27=49 $ 403 Butter Avenne - Tybee Island, Georgia 31328-2749
(912) 786-4573 ® FAX (12) 786-5737
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0&vr�ea a:d�dr!w
Mailing address
Name of businowner:
F? e bots of art �arsfness klorxs A fobiteC12, tit
Ir�� aattas:be�-a off" Ia t; Business Fio � �✓iabiie ,
ilei 'ousi�ip ai`sppliF to o �r f �, � %a�; tt,.�st, etc) .
Ma .. g address of applicant
Application is for; Sidewalk Cafe Merchandise Display
1. The length and width in feet of the public right-of-way to be used -
2.
d:2. T"he number of tables and chairs to be provided at the Sidewalk af6:
I Hours of operation of the Sidewalk Ca% or Merchandise Display:
Sunday: CIO 6m until
Monday: until
Tuesday: ®._ .w til _ . FOR ORTEN USE 04% Y
Wednes auntil
Thursday: until
Friday: _.n _until _
Saturday: _. _._. til
Sidewaa el gnu of cat& and inerchandue allplays inast be somrad daily when r a L i
The qMficaw
. shall not replace or Mange the AtFarrt withoat wrikiten aiaiterizadonfrans the Planning and ZaningManager.
130�i
TTS E% D KrH AP 1'I IC AT l
�-*Idavit (must be not wseepage seep e 2)
I n ie `tic `on Agreement (must be notor ee° seepage )
Certificate(s) of Insurance listing e City esf T°ybee Islandas additional in (seepage 4)
A Site Pi t scale with measurements the proposed sidewalk area and all items to be placed on or within it (seepage 4)
Photograph(s) of the sidewalk area ( tlo
plic . is signature ��` _ - Iain
Printed name a
- S: u Foe 10010
cmce $e.a
IQdays'n Mae5ro proom.
?.hnnikR Zoning MA.Agr d; CT AN Al ? of PEMAT
DLNIAL TO IN P, WYNLANAGEEL
3 R-1— A-vn F 0 Boy 2749 T bee Island Gera la 31328
:nage, 1 o 6
(912) 472-5033 FAX (912)186-9539
Lsc f(q-,)eityoJ1y ee.or
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1acting in the capacity of
on behalf of the establishment own as located at
p1Ilk
dial Georgia,attest to the following:
I have reviewed this application and all entries are correct and
. accurate to the best of my knowledge,
Q/ There are no omissions of lacL
There no items located on the sidewalk he e SidewWk Caf4 or Memllandise Displayis proposed that wouldprohibit the
planning d zoning Manager from issuing a Sidewalk Caf6 or Merchandise Display Permit,
No violation(s) of Georgia Law, Federal Laws Local Ordinance, or any Rule or Regulation of the State Revenue Commissioner,
or any Rule or Regulation of the City of'Ty Island or Chatham County have been adjudicated against this business within the
last 12 months precedinge date of the application, or
V1 The following violation(s) of Georgia Law, Federal Law, Local Ordinance,or Dole or Regulation of the State Revenue
Commissioner, Rule or Regulation of the pity of Tybee Island or Chatham County have been adjudicatedagainst t s
business in the 12 months preceding the date of the application:
I have read the South End Policies and edures and will abide by said South End Policies and Procedures at all times during
the term of the Sidewalk Ca " or Merch se Display Permit.
m
Date.
Notarized Signature: u.: Dt..__�.::
e �
Printed e: ► l
STATE OF GEORGIA
COUNTYp CHATHAM
The foreg i . � r , , ac no Ied ed cf e zne t$tis day of c W � % a 2tg �,m.�� by
k
t . _ who is personally known to me or who bas primed identification.
S1-gliinure of Notary lice
My Commission expires.
s i� � � LZI1412012
Fuge 2 aft :� � �� o ku
ext
INDEMNIFICATION AGREEMENT
This Indemnification, Release and Ilold i larraless Agreement is made this day of ,
r (" PLl x, r,) for the benefit of the City Tybee Island, r . CUTY"). When
referred to herein, the Cl'l'"Y means the Planning d Zoning I ria , the icipality, its City o cil, d h m ber thereof,
d its officers, employees, advisory board members representatives.
WHEREAS, the APPLICANT is theowner or lessee of the property located at , _ ,, hL, � Tybee
Island, Georgi d,
WIEREAS, 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, , d policies and is required thereby to indemnify,
defend and hold and save the CITE'' harmless for its use of the public right-of-way (hereinafter collectively the "PROPERTY"); ,
WHEREAS, the APPLICANT is authorized toand has obtained all necessary approvals for this Agreement,
NOW, THEREFORE, in consideration oftbe CITY allowing the APPLICANT to use the public right-of-way for its Sidewalk
or Merchandise Display the APPLICANT agrees as follows.
1. The above recitals are true, and correct and are incorporated herein by reference,
1 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 Sidew
Cafd 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 theta. APPLICANT will, at their own cost and expense, defend and protect e 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 Cafd 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 of thein or occasioned by an acct 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 clairns arising from the sole
negligence of the CITY, its agents, employees, or officers,
3. The APPLICANT does hereby remise, release, satisfy, gait claim, and forever discharge the CITY from any and all actions, suits,
claims or demands Haat they ever had, now has, or may have in the future against the CITY as a result of the granting of the
Sidewalk CaWMerchandise Display Permit or because of the use of the PROPERTY by the APPLICANT or their family,
officers, agents, representatives, guests, employees, invitees, or personas 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 sing 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 Indemnifncatio gr .n eat shall be binding upon and inure to the benefit of the parties and their heirs, legal
representatives, successors psi �
Notarized signature, m.._.
Printed name: t` l# ' r._
Bate:
COUNTYSTATE OF GEORGIA
OF CHATHAM
The forego eat was acknowledged before me this days of � � �.r � ��� � , 20,/----"--w by
who is personally known to me or who has prormLed identification.
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Signature of Notary Pm lac � � � _, �� ��: �.�do�
y Commission ares. �.� ..__ -— - O
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AGENCY CUSTOMER ID: NAVOENT-01
LOC
ACORV ADDITIONAL REMARKS SCHEDULE Page 1 of 1
AGENCY
Chatham insurance Partners, LLC
NAMEDINSURED
diver raves, Inc.
Insurance Department
P.0, Box 2497
PSL cy NUMBER
Tybee Island GA 3132$
ADDITIONAL R
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORS NUMBER; 25 FORM TITLE. CERTIFICATE OF LIABILITY INSURANCE
R2 1st Street, Tybee island, CSA 31328 (Silver Waves, Inc.)
7034 1st St, i'ybee island. GA 31326 (Southeast Marketing (USA), LLC)
1415 Sutler Ave, Tybee island, CSA 31328 (Funky Fish, Inc.)
ACORD 101 (2008/01) t 20178 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
DATE (MWDOffM)
1113/2022
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, EXTEND OR 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 INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
FPROD`U_CER
NAM91Jacquelyn Tucker
Chatham Insurance Partners, LLC PHONE
2502 Habersham St. 1_WqW_EJRl,, 912-650-2808
E-MAIL
GA
Jac
Savannah 31401 ADDRESIiL que qyp@c_ha�haminsurance.com
INSURER SJAFFL RDING COVERAGE N ---------------
2 MPANY 10677
v'5Zk
INSURER A 7 CINCINNATI INSURANCE CID
i INSURED
Silver Waves Inc.
INSURER C
Insurance D�Partment
P.O. Box 2497
INSURER 0:
Tybee Island GA 31328 INSURER E
INSU RER F
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.
City of Tybee Island
TN _SR ------ we I V _ _ - --7 EFF__7__Fi0_CFd_YrEJi5P_
�NUM �1,�
TYPE OF INSURANCE FOLICY NUMBER 22m=
LIMITS
_LT_R
ENP
A X COMMERCIAL GENERAL LIABILITY ENP 0398909 112022
_1
EACH OCCURRENCE$ 1,000,000
CLAWS -MADE [ x, OCCUR
[
NI2--lurrensel500 Q(tC+
PREIts Pit �S -
MED EXP (Any one so $5,000
PERSONAL & ADV INJURY$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
PRO -PRODUCTS
_9"ffRAL�AqGREGATE $2,000,000
POLICY JECT L LOC
- OOMP/OP AGO S 2,000,000
OTHER
AUTOMOBILE LIABILITY
(�_OMtM4ff §1-0—LE LIMIT 7—
.-JEo acindeW '
ANY AUTO
BODILY INJURY (Per pe rs on I
ALL OWNED Sc
BODILY INJURY (Per accident) S
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
ERTY DAMAGE
UMBRELLA DAB DO CUR
EXCESS LIAR
AS MADE
DED
DED I RETENTIONS
— ---------- 7—
�N Tin.
COMPENSATION
WORKERS COMPENSATION
I PE77777 € �97H-
ER
iAND EMPLOYERS'LIABILITY YINI
ANY PROPRIETORIPARTNER/EXECUTIVEE,L.
OFFtCER/MEMBER EXCLUDED? D�pp NIA�
i -__LSiAT_LkLE _i_� --
EACH ACCIDENT 1 s
(Mandatory in NH)E.L.
DISEASE - EA EMPLOYEE S
F_
It yes, describe tinder
— DESCRIPTION OF OPERATIONS bekaw
IT S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additions; Remarks Schedule, may be attached N more space is required)
City of Tybee Island is listed as Additional Insured as required by written contract with respect to the following locations:
17 Tybrisa Ave, 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.)
27 Tybrisa Ave, Tybee Island, CA 31328 (Silver Waves, Inc)
201 McKenzie Ave, Tybee Island, GA 31328 (201 McKenzie, LLC)
211 Butler Ave, Tybee Island, CA 31328 (Funky Fish, Inc.)
406 U I I ybee Island. GA 31328 (406 US Hwy 80, LLC)
See Attached...
MVITA =11214f1AIt4;V!14=1
ACORD 25 (2014/01)
I
01088-2414 ACIRC CORPORATION. All rights reserved.
The ACORD name and torso are registered marks of ACORD
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
AUTHORIZED REPRESENTATIVE
Tybee Island CA 31328
ACORD 25 (2014/01)
I
01088-2414 ACIRC CORPORATION. All rights reserved.
The ACORD name and torso are registered marks of ACORD
i