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HomeMy Public PortalAboutWAVES 2.pdfCITY OF TYBEE ISLAND MERCHANDISE DISPLAY PERMIT WAVES #2 WILLIAM NAVON P.O. BOX 2812 TYBEE ISLAND, GA 31328 Business Location: 27 TYBRISA STREET Certificate # 248 Date Issued: 02/09/2023 A 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 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 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:OOAM— 1:OOAM Monday 8:OOAM—1:OOAM Tuesday 8:OOAM— 1:OOAM Wednesday 8:OOAM—1:OOAM Thursday v 8:OOAM— 1:OOAM Friday 8:00AM— 1:OOAM Saturday 8:OOAM—1:00AM This Permit and plans must be displayed in a conspicuous place in your business establishment. The City 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 P - it e , ires on 12/31/2023. a L. Schaaf Zoning Specialist P.O. Box 2749 • 403 Butler Avenue • Tybee Island, Georgia 31328-2749 (912) 472-5033 CITY OF TYBEE ISLAND SIDEWALK CAFE OR MERCHANDISE DISPLAY PERMIT APPLICATION Business name I L J i2. ultretki �$ OP)t address .2} b+21 $ T1-- 5t -- 6 tom.-&- - L-, tom+( r 6 'fit (.3 Z& Mailing address P 2-0-2-f 2.1 4‘,6(:-..6 L-6,arc& t 614- - (2)2_k Name of business owner: 12,40 k -6-N/- Al-iw 014 Email Phone numbers of owner: Business Home Mobile Name of applicant if other than owner: W (L L i 4 rt.,\_ Aht tJ O y\J Email . 1 L U6; i,W AV 6Ii►ve-OL- l4 R o o - 097,--‘. , _�s,6 _0, j Home Mobile Phone numbers of applicant: Business i. Relationship of applicant to owner (same, employee, agent, etc.) G' 0_6_ 2Kt Z_ ,'v. A iv- jet & ,'L Mailing address of applicant 241 ;2, , iltaa, 4.cotivot, 64-- -m3-21 Application is for: Li- 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: $QO A t►.rN until A : O (* (Pt\ Monday: until Tuesday: until Wednesday: until Thursday: until Friday: until Saturday: s 00 Ar until A: ( 1A -r\ 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 REQUIRED WITH APPLICATION I Affidavit (must be notarized; see page 2) 11 Indemnification Agreement (must be notarized; see page 3) Certificate(s) of Insurance li ting e ity of Tybee Island as an additional insured (see page 4) O A Site Plan to scale with as e is of the proposed sidewalk area and all items to be placed on or within it (see page 4) O Photograph(s) of the side a are/ optional) Applicant's signature Printed name WO- lAteryN fv fi V a rJ Date FOP. OFFICE 055 ONLY Date Received New or Renewal License Number 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 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 Lschaaffcityoftybee.org Page 1 of 6 12/14/2012 AFFIDAVIT I, 1 -L -1` 'M 1\l' f) O r'l , acting in the capacity of 40-01V6.-. rlv 0 n! name owner, agent, employee, etc. on behalf of the establishment known as v}— `r street address 5k O5 - V.1 -A- ( business name it , Tybee Island, Georgia, attest to the following: 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. located at 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: 01. — Printed Name: i L- iV ✓tilyrJ Date: STATE OF GEORGIA COUNTY OF CHATHAM The foregoing instrument was acknowledged before me thissjl/d day of f� �" Uc� , 20_2_3_, by who is persor,Alktlowi to me or who has produced identification. ? N N jor ....COA4..y �rrr S ignate of Notary'ubiic f/ O Z o 9C) X s My Commission expires: s / /d j7.�j ' 5';4 y . OUNTY, GP `% si,rr1/r;U8 �I G e` S*:' Page 2 of 6 12/14/2012 INDEMNIFICATION AGREEMENT (RELEASE AND HOLD HARMLESS AGREEMENT) This Indemnification, Release and Hold Harmless Agreement is made this Ik day of it' Lt AAl , 20 , by j (,.Li NAND ftk) OY I ("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 `7 , 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 Cafe/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,laim arising from the issuance of the Sidewalk Cafe or Merchandise Display Permit or the use of the PROPERTY by the APP CANT. 5. The terms of this Indernnificatio 'Agreement shall be binding upon and inure to the benefit of the parties and their heirs, legal representatives, success1rs td Notarized signature: DC Printed name: W i LLI Arl-fx JO Date: STATE OF GEORGIA COUNTY OF CHATHAM The foregoing instrument was acknowledged before me this day of lc.�,�,,, Cl,v who is pers Signature of Ndry Pub My Commission expires: Page 3 of 6 lic 3' c7 S Fe lJG'/4c� , 20,13 , by ally known t` irkti liltitaibas produced identification. 4 so �J, 0,..k :cy O2S .43• 12/14/2012 ..-•---"I ® ACL Rte► CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/13/2023 .....------ 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). PRODUCER Chatham Insurance Partners, LLC 2502 Habersham St. Savannah GA 31401 License#: 202416 CONT NAMEACT Jacquelyn Tucker PHOovc"No. Ext): 912-650-2808 (A/C, No): E-MAIL ADDRESS: Jacquelyn@chathaminsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: CINCINNATI INSURANCE COMPANY 10677 INSURED NAVOENT-01 Silver Waves, Inc. Insurance Department P.O. Box 2497 Tybee Island GA 31328 INSURER B : Nutmeg Insurance Company 39608 INSURER C : INSURER D : INSURER E : INSURER 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y ENP 0398909 9/1/2022 9/1/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 1-3c1 OCCUR PREMISES (Ea occurrence) $ 500,000 CLAIMS -MADE MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY OTHER. JECT $ A AUTOMOBILE LIABILITY ENP 0398909 9/1/2022 9/1/2023 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ X A AUTOS x A AUTNONO-OWNED PROPERTY DAMAGE (Per accident) $ HIRED AUTOS AUTOS UMBRELLA LIAB EACH OCCURRENCE $ EXCESS LIAB OCCUR CLAIMS AGGREGATE $ -MADE DED I RETENTION $ $ B WORKERS COMPENSATION 20WECAR6A86 4/15/2022 4/15/2023 X PERTUTE OTH- ER AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? in NH) N / A E.L. DISEASE - EA EMPLOYEE $ 500,000 (Mandatory 0 yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Additional Named Insureds: 201 Mckenzie LLC - 201 Mckenzie, Tybee Island 31328 5th Avenue Rentall LLC - 1305 5th Ave, Tybee Island 31328 0 5th Avenue, LLC - 0 5th Ave, Tybee Island 31328 City of Tybee Island is listed as Additional Insured as required by written contract with respect to the following locations: Aloha Gifts - 25 Tybrisa Tybee Island, GA 31328 American Beachwear - 17 Tybrisa Tybee Island, GA 31328 Waves - 704 1st Street Tybee Island, GA 31328 See Attached... CERTIFICATE HOLDER City of Tybee Island P.O. Box 2749 Tybee Island GA 31328-2749 ACORD 25 (2014/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: NAVOENT-01 LOC #: ACS D ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Chatham Insurance Partners, LLC NAMED INSURED Silver Waves, Inc. Insurance Department P.O. Box 2497 Tybee Island GA 31328 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Island Style - 502 1st Street Tybee Island, GA 31328 Waves - 27 Tybrisa Tybee Island, GA 31328 High Tide - 406 1st Street Tybee Island, GA 31328 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD