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Home My Public Portal AboutSEASIDE SWEETS.pdfI'llW—, CITY OF EE ISLAM SIDEWALK CAFE .. RNIERCHANDISE DISPLAY PERMIT SEASIDE 12 LAUREL ISLAND,TYBEE GA. 31328 Business Location: 1 Certificate #: 521 Date Issued: 3/30/2022 A clean pedestrian path of a minimum of 4 feet must be maintained :at all times. Compliance with ADA provision is required at all tutees® A sidewalk element shall not be permanently attached to the sidewalk. -Sidewalk elements shall be stacked/set aside immediately tpon 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. SIDEWALK CAft 7X 2. ' Ai1LA BENCH OIJI1 OF OPERATION Sunday 1 pm – 9 peer Monday 1 prat – 9 parr Tuesday 1 PM – 9 pear Wednesday I p - 9 lani Thursday I pm – 9 it Friday I Ir – 9 pets Saturday 1 peen – 9 peat This Permit and plansmust be displayed in a conspicuous plac in your business establishment. The City of Tybee Island t be notified of any change istatue. This Permit is not transferable and is subject to being revoked if abused. i er It expires on 12131/2022. e Lis'"'. ZoningPlanning & I/ P.O. Box 274 -403 Butter Avenue 'Tybee Island, Georgia 31328-2749 ( 12) 786-4573 - FAX (912) 786-5737 CITY OF TYBEE ISLAhI _.SIDEWALK CAA OR MERCHANDISE- ` PERMIT APPLICATION 3 Business name APPROVE OR DEFY BY Street address 1 FEF CityMarshal Mailing addresSK- Name of business owner: Phone numbers of owner: Business Email Home Mobile Name of applicant if other than owner: Email Phone numbers of applicant: Business Home Mobile Relationship of applicant to owner (same, employee, agent, etc) rg Mailing address of applicant ID At/ Application is for: El 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 Cafe or Merchandise` Display: Sunday: until Monday: until Tuesday: until R ye Wednesday: until` Thursday: until on Friday: until Saturday until 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 authorization from the Planning and Zoning Manager. DOCUMENTS REOUIRED WITH APPLICATION Affidavit (must be notarized; seepage 2) Indemnification Agreement (must be notarized, see page 3) 'P ertificate(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 (seepage 4) K hotograph(s) of tZsidewoptional) *Ap�_ Applicant's signature Date Printed name ROUTING APPROVE OR DEFY BY DATE FEF CityMarshal Sidewalk Use Fee $0.00 An application may require 30 days or more to process. DIRECT AN APPEAL OF PERMIT DENIAL TO THE CITY MANAGER. Planning & Zoning Manager 403 Butler Avenue, P.O. Box 2749, Tybee Island, Georgia 31328 (912) 472-5033 FAX (912) 786-9539 Lschaaf@,cityoftybee.org Page 1 of 6 12/14/2012 INDEMNIFICATION AGREEMENT (RELEASE AND HOLD LURMLESS A WNT) This Indemnification, Release and Hold Harmless Agreement is made this day of , 20.2,;k_, by ("APPLICANT") for the benefit of the City Tybee Island, Georgia ("CITY'). When refs d to here' re 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 11 Ai 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, NOW, 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 CaWMerchandise 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 Cafd or Merchandise Display Permit or the use of the PROPERTY by the APPLICANT. 5. The terms of this Indemnificati ent shall be binding upon and inure to the benefit of the parties and their heirs, legal representatives, successo nd as ' Notarized signatures Printed name: Date: STATE OF GEORGIA COUNTY OF CHATHAM The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced identification. -11 St Pubis Sharon : shaver My Commission expires: rn County, C� n , Page 3 of 6 My Cor€orrsission ExpiresDecember 4, 20 3 12/14/2012 AFFIDAVIT I, acting in the capacity of —0164-W, e r �' ''—��awner, agent, employee, eta me on behalf of the establis ht known aslocated at 4, business name Tybee Island, Georgia, attest to the following: street address eK I have reviewed this application and all entries are correct and accurate to the best of my knowledge. e There are no omissions of fact: d'' 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. d' 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 Laws 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: 4 ek 9,1 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 rchandise Display Permit. Notarized Signature: Date: Printed Name: 1 STATE OF GEORGIA COUNTY OF CHATHAM The foregoing instrument was acknowledged before me this day of , 20 by =Siggnatureof who is personally known to me or who has produced identification. Notary Pub is My Commission expires:Sharon S. Shaver Notary Public, Chatham County, GA �nmr rission Expires December 4, 2023 Page 2 of d 12/14/2012 AGENCY Remer Lane Insurance PO Box 14514 8401 Waters Ave Savannah, GA 31416-1514 COMMERCIAL INSURANCE APPLICATION APPLICANT INFORMATION DATE (Mli).,. 03/01/2022 CARRIER NAIC CODE xuMnity Company GLCODE COMPANY Y OR PROGRAMN E PROGRAM CODE L UNDERWRITER NDERWRfTEROFFICE CODE' i SUBCODE: .reurwr„er„MFq,,,. DB2106211543017 ..QUOTE..... ISSUE POLICY RENEW STATUS OF BOUND (Give Date and/or Attach Copy) TRANSACTION CHANGE DATE TIME A( CANCEL PM LINES OF EU 1 Egb GLASS AND SIGN SECTION INDICATE LINES OF BUSINESS PREMIUM PREMIUM PREMIUM GLCODE BOILER & MACHINERY $ CYBERAND PRIVACY $ YACHT $ BUSINESS AUTO $ FIDUCIARY LIABILITY $ WEBSITE ADDRESS $ CONDO ASSN BYLAWS (for D&O Coverage only) BUSINESS OWNERS $ GARAGE AND DEALERS It CONTRACTORS SUPPLEMENT $ LOSS SUMMARY COMMERCIAL GENERAL LIABILITY $1859.00 LIQUOR LIABILITY $ OPEN CARGO SECTION --i- COMMERCIAL INLAND MARINE $ MOTOR CARRIER $ FEIN OR SOC SEC # $ BUSINESSPHONE#: COMMERCIAL PROPERTY $ TRUCKERS $ NAME (Other Named Insured) AND MAILING ADDRESS (including ZIP+4) GL CODE SIC NAICS FEIN OR SOC 5EG # $ WEBSITE ADDRESS GRIME $ UMBRELLA $ $ ATTAGHMl 15 ACCOUNTS RECEIVABLE / VALUABLE PAPERS GLASS AND SIGN SECTION NAICS STATEMENT /SCHEDULE OF VALUES ADDITIONAL INTEREST SCHEDULE GLCODE HOTEL / MOTEL SUPPLEMENT STATE SUPPLEMENT (If applicable) ADDITIONAL PREMISES INFORMATION SCHEDULE INSTALLATION/ BUILDERS RISK SECTION VACANT BUILDING SUPPLEMENT APARTMENT BUILDING SUPPLEMENT 1012 LAUREL AVE INTERNATIONAL LIABILITY EXPOSURE SUPPLEMENT WEBSITE ADDRESS VEHICLE SCHEDULE CONDO ASSN BYLAWS (for D&O Coverage only) INTERNATIONAL PROPERTY EXPOSURE SUPPLEMENT FOR PROFIT ORG CONTRACTORS SUPPLEMENT SUBCHAPTER "S”CORPORATION LOSS SUMMARY WNDIVIDUAL COVERAGES SCHEDULE OPEN CARGO SECTION DEALERS SECTION GL CODE PREMIUM PAYMENT SUPPLEMENT 1 NAICS FEIN OR SOC SEC # DRIVER INFORMATION SCHEDULE BUSINESSPHONE#: PROFESSIONAL LIABILITY SUPPLEMENT PORATION JOINT VENTURE NOT FOR PROFIT ORG APTER "S”CORPORATION ELECTRONIC DATA PROCESSING SECTION NAME (Other Named Insured) AND MAILING ADDRESS (including ZIP+4) GL CODE SIC NAICS FEIN OR SOC 5EG # RESTAURANT / TAVERN SUPPLEMENT WEBSITE ADDRESS POLICY INFORMATION PROPOSED EFF DATE PROPOSED EXP DATE BILLING PLAN PA ENT PLAN METHOD OF PAYMENT AUDIT :DEPOSIT $ $ 3/26/2022 3/26/2023 DIRECT AGENCY POLICY APPLiGAry 1 Hit -v K sa I ium NAICS FEIN OR SOC SEC NAME (First Named Insured) AND MAILING ADDRESS (including ZIP+4) GLCODE SIC LEMON HOPS LLC dba SEASIDE SWEETS BUSINESS PHONE M (678) 6134225 1012 LAUREL AVE Tybee Island, GA 31328 WEBSITE ADDRESS CORPORATION FOR PROFIT ORG SUBCHAPTER "S”CORPORATION WNDIVIDUAL =VENTURENOT NO. OF RS S: PARTNERSTRUST NAME (Other Named Insured) AND MAILING ADDRESS (including ZIP -4) GL CODE sic 1 NAICS FEIN OR SOC SEC # BUSINESSPHONE#: WEBSITE ADDRESS PORATION JOINT VENTURE NOT FOR PROFIT ORG APTER "S”CORPORATION AND MANAGERS: "... ETRUST VIDUAL LLC NO OF MEMBERS PARTNERSHIP �N. NAME (Other Named Insured) AND MAILING ADDRESS (including ZIP+4) GL CODE SIC NAICS FEIN OR SOC 5EG # BUSINESS PHONE M WEBSITE ADDRESS CORPORATION JOINT VENTURE NOTFOR PROFIT ORG SUBCHAPTER "S" CORPORATION fNDIViDUAL LLC NO OF MEMBERS AND MANAGERS: PARTNERSHIP TRUST � �„„,, ,,p,qe Arseon rgr1®f°nl�A"F°lf1R1 ®[t rirwhfC r��€?rvcw[I AG RD 125 (ZU15/Us) F .U- . — -The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMERI : DB2106211543017 ADDITIONAL INTEREST EST 0 CERTIFICATE RECIPIENT CQ 4 attached for additional names INTEREST NAMEANDADDR S NK: IDENCE: CERTIFICATE INTE_RESTINITEMNUMBER ADDITIONAL INSURED CITY OF TYISLAND LOCATION: ;. BUILDING: ITEM L�, CLASS: ` ITEM: EMPLOYEE AS LESSOR PO BOX 2749 ITEM DESCRIPTION LENDER'S LOSS PAYABLE TY'BEE ISLAND, GA "3132$ LIENHOLDER .._.._...... LOSS PAYEE MORTGAGEE REFERENCE t LO #: CG20260413 GENERAL INFORMATION PLAIN ALL "YES" RESPONSES (For all past or present operations) 1. ANY MEDICAL FACILITIES PROVIDED OR MEDICAL PROFESSIONALS EMPLOYED OR CONTRACTED? 2, ANY EXPOSURE TO RADIOACTIVEINUCLEAR MATERIALS? DOIHAVE PAST, PRESENT OR DISCONTINUED OPERATIONS INVOLVE(D) STORING, TREATING, DISCHARGING, APPLYING, DISPOSING, OR 3_ TRANSPORTING OF HAZARDOUSMATERIAL? (e.g_ landfills, wastes, fuel tanks, etc) 4. ANY OPERATIONS SOLD, ACQUIRED, OR DISCONTINUED IN LAST FIVE (5) YEARS? 5. DO YOU RENT OR LOAN EQUIPMENT TO OTHERS? TYPE OF EQUIPMENT INSTRUCTION GIVEN (YIN) EQUIPMENT SMALL TOOLS LARGE EQUIPMENT SMALLTOOLS LARGE EQUIPMENT 6. ANY WATERCRAFT, DOCKS, FLOATS OWNED, HIRED OR LEASED? 7. ANY PARKING FACILITIES OWNEDIRENTED? S. IS A FEE CHARGED FOR PARKING? 9. RECREATION FACILITIES PROVIDED? 10, ARE THERE ANY LODGING OPERATIONS INCLUDING APARTMENTS? (If "YES", answer the follcvting): # APTS TOTAL APT AREA DESCRIBE OTHER LODGING OPERATIONS Sq. FL 11. IS THERE A SWIMMING POOL ON PREMISES? (Check all that apply) APPROVED FENCE LIMITED ACCESS DIVING SOARD SLIDE ABOVE vRO"�a.7 IN GROUND LIFEGUARD 12. ARE SOCIAL EVENTS SPONSORED? 13. ARE ATHLETIC TEAMS SPONSORED? TYPE OF SPORT CONTACT TYPE OF SPORT CONTACT AGE GROUP AGE GROUP 13 _ 18 SPORT (YIN) 13-18 .SPORT (YIN) 12 &UNDER OVER 1$ 12 & UNDER OVER 1$ ENT OF SPONSORSHIP: EXTENT OF SPONSORSHIP: EXT14. ANY STRUCTURAL ALTERATIONS CONTEMPLATED? 15, AMNY DEMOLITION EXPOSURE CONTEMPLATED? ACORD 126 (2016109) Page 3 of 4