HomeMy Public PortalAboutBEACH BUM BOUTIQUE.pdfCITY OF ' EE ISLAM
SIDEWALK CAFE'OR MERCHANDISE
BEACH BIJM BOUTIQUE, LLC
P.O.
BOX 2984
TYBEE ISLAND, GA. 3132
Business Location: 13 TYBRISA ST.
Certificate 9: 234
Date Issued: 4/4/2022
clear 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 sideNva k. 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 discretion of the city. _Sale transactions shall not occur on
sidewalks. All sales gust occur in the building.
.
MERCHANDISE SPAY: 14'X 3'
HOURS OF OPERATION
Sunday 8 Az —12 PM
Monday S A --12 Pi
Tuesday 8 A _ 12 P
Wednesday 8 Ai —12 PM
Thursday 8 AM —12 PM
Friday S A - 12 PM
Saturday= 8 AM - 12 PSI
This Permit Ins must be displayed in a conspicuous lace in your business establishment.
The City of Tybee Island must be notified of any change in statue. This Permit is not transferable
and is subject to beingrevoked if abused. nig Pe mit expires on 1213112022.
!. i I Schaaf
Planning 1
P.O. Box 2749 03 Butler Avenue - Ty bee Island, Georgia 3132$-2719
(912) 786-4573 - FAX (912) 786-5737
CITY OF TYBEE ISLAND
SIDEWALKNIERCHANDISE
PERMIT APPLICATION
Business name
Street address ,
Mailing address a
Name of business owner: Email
Phone numbers of owner: Business Home Mobile C1
Name of applicant if other than owner: Email
Phone numbers of applicant: Business Home Mobile
Relationship of applicant to owner (same, employee, agent, etc)
Mailing address of applicant
Application is for: 13 Sidewalk Cafe Merchandise Display
I . 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 Caf6:
3. Hours of operation of the Sidewalk Caf6 or Merchandise Display:
Sunday: Cl.W,90, 0 6Y11
Monday: until
Tuesday: until F c?e USE o b'>
oatle
Wednesday �� .until C?����:Y�n��
m
tfrerse;:+nmller..
Thursday:� until e d
_. .
Friday: s t Ato. until (e`Al
Saturday: L j_ until 1
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 Nlanager.
DOCUMENTS REQUIRED WITH APPLICATION
Affidavit (must be notarized, see page 2)
fV Indemnification Agreement (must be notarized; see page 3)
Certificate(s) of Insurance listing the City of Tybee Island as an additional insured (see page 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 sidewalk area (optional)
Applicant's signature Date
Printed name
ROUTING APPROVE OR DENY
BY
DATE
FEE
Sidewalk Use Fee $ono
City Marshal
An application may require
30 days or more to process.
Planning & Zoning Manager
DIRECT AN APPEAL OF PERbIIT
DENIAL TO THE CITY MANAGER-
403 Butler Avenue, P.O. Box 2749, Tybee Island, Georgia 31328
(912) 472-5033 FAX (912) 786-9539
Page
r1NAGER
Page I of 6
L
1211412012
AFFIDAVIT
1,` , acting in the capacity of
name owner, agent, employee, etc.
on behalf of the establishment known as - t located at
business name
'IS� , Tybee Island, Georgia, attest to the following:
street address
I have reviewed this application and all entries are correct and accurate to the best of my knowledge.
There are no omissions of fact.
G/ 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.
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:
I have read the South End Policies and Procedures and will abide by said South End Policies and Procedures at all times curing
the term of the Sidewalk Cafe or Merchandise Display Permit.
Notarized Signature: Date:
Printed Name:
STATE OF GEORGIA
COUNTY OF CHATHAM
qL6The foregoing instrument was acknowledged before me this day o , 2 by
4Siggnawurre
ho is personally known to me or who has produced identification.
4Publi
Sharon S.ver
My Commission expires: ns&ag m County, GA
My Commission Expires December 4, 2023 12/14/2012
Page 2 of 6
INDENTINIFICATION AGREENIENT
(p,ELEASE AND HOLD HARMLESS A AUENT)
This Indemnification, Release and Hold Harmless Agreement is made this2 day of
20 by
("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,
/ Tybee
WHEREAS, the APPLICANT is the owner or lessee of the property located at f �1
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;
L 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 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 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.
The APPLICANT does hereby remise, release, satisfy, quitclaim., and for
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 CafeiMerchandise 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 Indemnification Agreement shall be binding upon and inure to the benefit of the parties and their heirs, legal
representatives, successors and assigns.
Notarized signature:
Printed name:
Late:
STATE OF GEORGIA
COUNTY OF CHATHAM
The foregoing instrument was acknowledged before me this day by
� o'is personally known to me or who has produced identification.
Ign of Notary Public Sharon S. Shaver
Notary Public, Chatham County, CA
My Commission expires: Reires December 4, 2023
- 1211412012
Page 3 of 6
F
LIABILITY INSURANCE
F2//ATE (MMIDDNYYY)
CERTIFICATE O22/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ON€..1 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OF NEGAI %E`.LYAiMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURAN£`I.. DOES NOT CONSTITUTE TE A CONTRACT C>T BE EEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
kt`i1,FORTANT: If the certificate holder is an ADDiTiONAL as ISTIrtDED, th tcTo' Ncy(ios) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the ) ofty, certain pofi`cie: may require ars endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsemprit(,).
PRODUCER
;RAE. ` ,...GY'eiC.y Howell
BernardWilliams Cir T z =a LLC NE 012) 234-4476 fai (412)232-8950
(5001 Ch tehaam Center D ILRES^;
Sul to 100
Savannah '3 ; 14, 0 5
INSURED
BeachBum Boutique, LLC
O Box 2984
Tyl-,�? : Island GA 31328
COVERAGES
INSURERS AFFORDING COVE GE
NAIL #
_
IIJSURER A; An t�D -'T}4tTiii i^a IPtu'uY° PE�"� C®�rI �iA
_ ._
INSURER S:
POLlGY EXPT
M<>w9dDDlYYYY
INSU R C
`
$ 1,000,0001
INSURER D:
�
906/39600
(NSUPER E :
1/13/2023
17dSURER F
300,000
TE I I,is rTt'T1-12222224011 ,.
THIS IS TO CERTIFY THAT THE POE.ICIES OF II,:SURAN a,,E LiSiED Bi ' OPV I Yh 'la BEEN !SSLIED TO THE INSURED NAMED ABUVL FUR I HL F'ULIGY VLKIUIJ I
INDICATED. NOTWITHSTANDINGANY REQUIREMENT I ERA ' µDl "'ION OF AINY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CER -1 1FICATE MAY BE ISSUED OR MAY PERTAIN THE (NSUF,AN('L / , rOr DED BY THi" POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
FXCI IISIONSAND CONDITIONS OF SUCH POLICIES , ,41ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iINBR .. AD
LTRTYPE OF INSURANCE
m
GENERAL LIABILITY
SUS;R .-_.
NUP=O BER.
..�. iL
POLIGY EFF
MMYDDfYYYY
POLlGY EXPT
M<>w9dDDlYYYY
LIMITS
EACH OCCURRENCE
`
$ 1,000,0001
E CQMMERCIALGENERAL LIABILITY
�
A � CLAIMS -MADE of OCCUR !
�
906/39600
/13/2022
1/13/2023
DAMAGE TO RENTED
PREMISES Ea occurrence �$
300,000
MED EXP (Any one person)
$ 10,000
PERSONAL & APV INJURY
$ 1,000,000
-
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COM P/OPAGO
$ 2,000,000
k
GEN'i-AGGREGATE LIMIT APPLIES PER S
PRO-
X POLICY J CT LOC
AUTOMOBILE LIABILITY
'
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€
.
COMBINED SINGLE LIMIT
�a aaeident
$
e
BODILY INJURY (Per person)
� d
$
ANY AUTO!
I
c
BODILY INJURY (Per accident)
$ 1
ALL CyANED I SCHEDULED
A. AUTOS AUTOS
NOty-G`•NNEG #
HIREDAUTOS AUTOS '
E
I9krsNE.LLA LSAT: OCCUR jj
"
I
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€
PROPERTY DAMAGE
Per accident
$
�g
EACH OCCURRENCE
$ s
$ `
AGGREGATE
$
IEXCESS LIAR
E._.
DED RETENTION $
^!
$ I
WORKERS COMPENSATION �
, .��:..
�
WC STATU OTH-
�
g
ND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE —E.L.
ANY
C;FFICER/MEFvIBER EXCLUDED`} ICIN/A
(Mandatory in NH) —
j
I t;
EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
T�
$ i
E.L. DISEASE - POLICY LIMIT
$ e
if sabe under
`rESCRIPTIONOF OPERATIONS o�l
s
!
DESa',RIPTION OF OPERATIONS! LOCATIONS t VFHI'LES (Attach taURL) 101, Additio„ezi kecnarkcs SOeduiu, if more space is required)
C:. of 'Tybee Island is listed as Additional "Insured
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL.LE? BEFORE
rHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City o Ty1�� island to ACCORDANCE WITH THE POLICY PROVISIONS.
.Attn: Sharon Shave 1
403 Butler .s" it"e 9 AM THG'RaZED REPRESENTATIVE
TTSbee Island, CA 31-328
T, Brett Goodwin/HH
ACORD 25 (2010105) O 19$0-2010 ACORD CORPORATION. All rights reserved.
RJS025 (201005)P1 'rhe ACORD mini e and Togo are registered marks of ACORD
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