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HomeMy Public PortalAbout020_010_ CCAR_July-Sept 2013 Tybee Floatilla SEA MAYOR CITY MANAGER le Jason Buelterman Diane Schleicher CITY COUNCIL OF COUNCIL Wanda Doyle,Mayor Pro Tern Janet LeViner Barry Brown - ` Jan Foxk°' CITY ATTORNEY Bill Garbett , Edward M.Hughes Tom Groover r,9 Paul Wolff CITY OF TYBEE ISLAND City Council Agenda Item Request Agenda Item Requests and supporting documentation must be submitted to the Clerk of Council by 4:00PM on the Thursday prior to the next scheduled Council meeting. If this form is received after the deadline,the item will be listed on the next scheduled agenda. Council Meeting Date for Request: 6/26/13 Category: Special Event Consideration Item: TYBEE FLOATILLA (July 8, July 21, August 18, September 1): Chatham Avenue &Alley 3 Organization: Stafford Promotions Explanation: Application is attached. Budget Line Item Number(if applicable): Paper Work: X Attached* Audio/Video Presentation** * Electronic submissions are requested but not required. Please email to j leviner@cityoftybee.org. ** Audio/video presentations must be submitted to the IT department at City Hall by 4:OOPM on the Thursday prior to the scheduled meeting. Submitted by: Chantel Morton, BHT Program Coordinator Phone/Email: 912-844-9771 /cmorton@cityoftybee.org Comments: Review/ Signatures requested 6/21. Date given to Clerk of Council 6/24/13 * * * P.O.Box 2749—403 Butler Avenue,Tybee Island,Georgia 31328-2749 *Certified* (866) 786-4573—FAX(866) 786-5737 1 City of r 1a Ethics iv www.cityoftybee.org 41-B 44�L MAYOR l CITY MANAGER Jason Buelterman ` k . _ Diane Schleicher CITY COUNCIL t�I. 4 4,, CLERK OF COUNCIL Wanda Doyle,Mayor Pro Tem al f Janet LeViner Barry Brown • •1 1 Jan Fox tS CITY ATTORNEY Bill Garbett 1,:..r Edward M.Hughes Tom Groover ,� 1 ,*" Paul Wolff4 CITY OF TYBEE ISLAND f75 SPECIAL EVENTS APPLICATION ` ` The City of Tybee Island recognizes that special events play a significant role in the life of the community. Special events enhance the community by providing recreation,cultural and educational opportunities to residents and tourists and they attribute to the economic health of the community. It is our goal to assist event organizers in planning safe and successful events that have a minimal impact in the areas surrounding the event. By keeping the public's best interest in mind,persons or organizations wishing to host a special event upon public property or private property requiring City Services,special permitting and/or vendors must first be granted approval from the City Council and/or the City Manager. The Special Event application shall be completed with all requested information completed and submitted for consideration at least sixty(60)days prior to event. Events with 75 or more people upon public property or private property requiring City Services,special permitting and/or vendor permits that are not for the non-profit organizer of the event require approval from the City of Tybee Island. No more than one event per day will be permitted due to limited infrastructure and city resources. In order to ensure a smooth review process for permission to have a Special Event,the applicant will receive direction from applicable City Departments,City Manager and Better Hometown Program Coordinator. Prior to the application being submitted for City Council consideration(if applicable),all concerns and details must be addressed,confirmed by the organizer and accepted by designated City Staff of impacted Departments. Note: Applicant must meet with the Better Hometown Program Coordinator or his/her designee at time of submitting application. Additional meetings may be required. r Today's Date: ( —26 -/3 Application Fee Submitte . *A non-refundable Special Event application fee of$50 is required at time of application submittal for processing and consideration. Checks or money orders should be made payable to the City of Tybee Island. --� SECTION 1: EVENT INFORMATION I 1. Name of Event: / ` F� c/G Az. ./43- 2. Date and time of event � ) ,/ y � � ../ l t' � Setup: Date/Time period _ rJ (S7L 1 1 2 . d'.r t j.f) --`// 1. ( ii 1 Breakdown: Date/Time period r 3. Location(s): r�1A k1m(c1 Ado, ,��� 1x11 ,I6 TIT- + A site plan of the event area drawn to scale and depicting all event struitures is required at time of application submittal. (J`a A Letter of Permission (LOP)from Georgia Department of Natural Resources(http://coastalgadnr.org/sendemail)• IB' S'0 -- is required for events with beach usage and/or within the Shore Protection jurisdiction(i.e.beach side b■ parking lot areas,etc.). The LOP is due no later than two(2)weeks prior to the event. 0I lS. 4. Organization: 5-7)q-a24-c/ PCe./1110.-kGrl S gCommercial? ❑ Non-profit/Tax Exempt?(Non P,ofit Status/GA Tax Exempt Certificate must be attached.) 5. Phone number and/or website for public event information' -c7l .6411/L-'. (_f PZ 7/4g64) ( (./O_ ),•Th 6. Organizer/Applicant: gj') (.Y-\ V, ]- ,:. c., /v Address: /6' J?/ 7� 7,4 r` 51)',.:1;_: City: 1r±1;-=41,7„'} .iq't /�� State: Zip: 5l Ljd f Contact Phone: ?/'1. ('a e qOO / Email: Organizer/Applicant listed above must be in attendance and readily available for the duration of the event. P.O.Box 2749-403 Butler Avenue,Tybee Island,Georgia 31328-2749 (912)472-5071-FAX(912)786-9539 www.cityoftybee.org SECTION 2: EVENT DETAILS 1. Is this event... Open to the public] ,El Private Invitation only `ry 2. Describe the event nd its goals: /�ii�rl �� I't ��✓S �j 7/j-P-e • r.. ti' 1 -1-r / C 41ct// zr- ,�4: ; Ili- Yi 3. Estimated number of »people to attend and what this is based on: �e -'61s'- r7GO 4. Is there an admission fee for attendees? ❑ No tYes-Fee will be: IO A preliminary budget is due with application. (refer to Section 7: Financial) 5. Have you ever done this event before? If yes,list dates and locations: t? e-c 2.c7 t G ) airJ S 7 2..e, 10 5 J -an '! 1 1 '�� j sv; S 2c \1 ) 7c it , -I)', let 2) rr- 6. Describe parking arrangements during event in detail: c-°. / .� J M014 I t Q CA-M) a1 a 2,f:*'," / !ry O c) . Please attach a drawing of parking plan. Organizer m4 be fequiredto run a shuttle if a parking lot is cc, 4-i P_ closed for the event. j 1 /� 7. List event sponsors and marketing plan: /JL t9(7/..&"e.)--74.SC' /r f'1e'UI, l I i lje� (U"e z[ it) Wit' "r� .. .9. 2/ ,' e - .� yj �� I✓'✓ 5$fCr7 8. List any additional contact person(s)and t eir phone numbers involved in the planning of this event. jti.G 9. What plans exist for clean up and recycling?(Disposal of grease,trash,etc.) -f--rd"t (' Q /I 7479 J7 21 r4 1 10. Please list any entertainment,bands,emcees or onsite promoters attending this event. A.V./1/K. Describe sound equipment: l SECTION 3: REFERENCES 1. Please list your previous special event and/or hosting organization's experience in producing events. 2. Please list two(2)references .-excluding City Officials and Staff: a. Name: - 7l ,1� �(•b 1J Address: �1 Phone: 7//) 33L L/9 b. Name: Sp �11 r U M Address : Phone: ( ?12) . 2 ��L G Page 2 of 8 City Council Approved:February 14,2013 1---- SECTION+4: OTHER REQUESTS (Check the boxes below and provide additional information if applicable.) 1. ❑ Vendors(Organizer must submit all Vendor Applications with payment no later than two[2]weeks prior to event. Chatham County Health Department must be contacted for approval of food vendors in accordance with their regulations.) 2. ❑ Department of Public Works(DPW)Request(s)(DPW approval required;staffing/equipment fees may apply) DPW Item Amount needed Total hours needed Traffic Cones Barricades Traffic Barrels Trash cans Recycling containers Port a lets / b r �- r Sweeper Vac Truck 6 "1 , Fire ant treatment 01{0" Dump Truck Back-hoe List other services that are requested. Costs will be determined. /(/04/6 3. ❑ Street Closures(Tybee Island Police Department[TIPD]approval required.) a. List requested streets: 4. ❑ Special parking/parking pass request(s)(Parking Service Division approval required.) a. Please describe: 5. ❑ Commercial truck parking a. Please describe: tro)t� ❑ Police Detail(TIPD approval required;staffing/equipment fees may apply) a. Please describe: A.get0-01, (If off duty police officers are hired,organizer is responsible for contracting directly with the individual[s]and paying fees direct as agreed upon.) P'!t 7. ❑ Alcoholic Beverages(License Application should be submitted to the Administrative Assistant to the City Manager. Approval is required by City then State.) 8. ❑ Fire Detail/Inspection(staffing/equipment fees may apply) a. Please describe: (If off duty fire department staff/volunteers are hired, organizer is responsible for contracting directly with the individual(s)and paying fees direct as agreed upon.) 9. ❑ Fireworks(TIFD, Chatham County and U.S. Coast Guard approval required. Special application due to USCG at least 135 days prior.) 10. El Additional Security a. Please describe: ii. ❑ Petting Zoo a. Please describe: Page 3 of 8 City Council Approved:February 14,2013 SECTION 4: OTHER REQUESTS(CON'T.) (Check the boxes below and provide additional Information ff applicable.) 12. ❑ Parade/Procession (TIPD approval required;staffing/equipment fees may apply) a. List requested parade staging area and route: (*Parades are required to start on Saturdays no later than 3:00pm with the exception of the Beach Bum Parade. Participants must adhere to safety guidelines.) 13. ❑ Amusement Rides(Insurance from providing company is required no later than two[2]weeks prior to event.) 14. ❑ Temporary Structure(i.e. tents, booths,stage,etc.) a. Please describe: (Permits for tents larger than 10'x 10,stages, booths and the like are required through the Planning&Zoning Department. Completed application with required documentation must be submitted no later than thirty[30]days prior to the event.Structures are not permitted without approval from the Planning&Zoning Department. Fees apply.) 15. ❑ Electrical needs(fees may apply) a. Please describe: 16. ❑ Filming(Permit application should be filed with Facilities Coordinator. Approval is required.) 17. ❑ Banner Permits(Permit application should be filed with Facilities Coordinator. Approval is required.) 18. ❑ City Facility requests require separate forms and approval through the Facilities Coordinator. a. The Walter W. Parker Pier and Pavilion is managed by Chatham County Parks&Recreation. Reservations for use of this facility must go through their office. SECTION 5: ADDITIONAL REQUIREMENTS - A non-refundable Special Events application fee is required at time of application submittal. The application will not be processed without the application fee of$50.00. Checks should be made payable to the City of Tybee Island. If the applying organization is tax exempt,a GA Tax Exempt Certificate must be submitted with the application. - Insurance,as indicated below,is required at least two(2)weeks prior to the Event. Failure to provide insurance will result in the cancellation of event. PRIVATE PROPERTY PUBLIC PROPERTY PRIVATE Organizer is responsible to obtain Signed Indemnification INVITATION necessary insurance as deemed Agreement required. appropriate by the property owner. Signed Indemnification Agreement Signed Indemnification Agreement required. required and a Organizer is responsible to obtain necessary insurance as deemed $1 million certificate of insurance,with the OPEN TO appropriate by property owner. City of Tybee Island listed as additional insured and THE PUBLIC * If use of the Walter W. Parker Pier and Pavilion is part * certificate holder. If use of the Walter W. Parker Pier and Pavilion is of the event,a$1 million certificate of insurance,with Chatham County Parks&Recreation listed as an part of the event, a$1 million certificate of insurance, additional insured and certificate holder is required. with Chatham County Parks&Recreation listed as an additional insured and certificate holder is required. The application will go through the review process again if substantial changes are made or additional needs are requested. Additional application fees will result with additional meetings. Page 4 of 8 City Council Approved:February 14,2013 r hie 4.1)it / ; ' ,' SECTION 6: INDEMIFICATION AGREEMENT AND ACCEPTANCE TO ADHERE TO APPLICATION REQUIREMENTS I, individually and as the Agent representing the Event Organization,do hereby agree to indemnify and hold harmless the City of Tybee island, Georgia, its officers, agents,employees and contractors from and against any and all loss,damage,claim,demand, liability or expense by reason of any damage or injury to property or person which may be claimed to have arisen as a result of or in connection with the occupancy or use of listed event premises during the time period of said event. Such obligation to indemnify and hold harmless shall continue notwithstanding any negligence or comparative negligence on the part of the City relating to such loss or damage,except for loss or damage arising from the sole negligence or willful misconduct or gross negligence of the city,and shall include all costs,expenses and liabilities incurred by the City in connection with any such claim, suit,action or cause of action,including the investigation thereof and the defense of any action or proceeding brought thereon and any other judgment or decree which may be entered in any such action or proceeding or as a result thereof. These provisions shall survive the expiration or earlier termination of the use of premises. Nothing in this Agreement shall be construed to affect in any way the City's rights,privileges, and immunities as set forth iq Georgia Statutes and/or the Constitution of the State of Georgia. /Organizer/ Signature: ,�•r� 1._,.. ti ;_ Date: — — ) INTERNAL USE BELOW. Staff signatures for City Departments listed below indicate the event application has been reviewed and department needs are accepted as requested. All signatures are required prior to application being submitted for City Council consideration. City Manager and/or Designee Finance Director and/or Designee .:1, .._)© co -24-l3 Appro461 . .+r -1,r5 evc.n-ors. D er■ai nf 4* eve.nk--bypasses Plti¢,. ti ev n-1- a Yes4r;4.4., n. anning&oningeMlanager and or[Designee Water&Sewer Department Supervisor and/or Designee Chief of Police and/or Designee Campground Manager and/or Designee Chief of Fire Department alnd/or D�es_igfnee A" Department of Public Works Director and/or Designee COMMENTS: J�Q •4-- 1ahor Ii/ &LiCA 6/44_ 'G�it2Qt,�'�r4 (? 2/oyed/I.Q l�l/J'ci tcf 44, 11 U DATE APPROVED BY CITY COUNCIL: ADMINISTRATIVE APPROVAL(as applicable): Better Hometown Coordinator: Date: City Manager: Date: ILL,t-C(iN ,4g`t LeI21 Itiu t4 AeE (/.4tn - 6/X(j ) A* ,` s 'tv.C, i -ID ( r a ,4 . w�loc U)o)+fin &ouu ao i ,s. ,.ecue d ' 'i J uf ' 1p,5. At.a - Ws Page 5 of 8 City Council Approved:February 14,2013 SECTION 7: STANDARD EVENT APPLICATION POLICIES AND PROCEDURES THE APPLICANT SHALL USE THE MUNICIPAL PROPERTY SOLELY FOR CARRYING OUT THE SPECIAL EVENT AS APPROVED BY THE CITY MANAGER AND/OR THE CITY COUNCIL. Application Will Be Based On: 1. Whether the applicant for a Special Event Permit is capable or incapable of executing the planned special event. 2. Whether budgetary considerations at the time of application create such a burden upon the City's financial resources that it would not be practical to hold the proposed special event at the time requested. 3. Whether the holding of the special event as planned would create an undue burden upon the public and staff resources of the city. 4. The timing of the proposed special event. 5. Whether the applicant producing the special event is profit making or not for profit purpose only. 6. The historical experience,if any,of the special event in the past years. 7. The effect the proposed special event will have upon the City's resources and public health and safety,and frequency with which such events are held. 8. All City Department Heads affected by said event must review and confirm acceptance of the application prior to the application being approved by the City Manager or City Council. All relevant fire and life safety issues must be adequately addressed. 9. A Special Event permit may be refrained from issuance when the directors of city departments in good faith believe that the proposed special event will endanger the public health,safety,welfare,and/or damage property. 10. A special events permit shall be revoked when the directors in good faith believe that allowing the continuations of the proposed special event may endanger the public health,safety,or welfare of property of others. 11. After reviewing the comments of all affected Departments of the City, based on the specifics of the event,approval or rejection of the application for a Special Event permit will be granted. Approval of Application: 1. The City Manager may at her/his discretion approve an event for up to 500 people. These events must meet the following criteria: exclusive use of city property;minimal impact on neighboring residents and businesses;small scale events with some special requirements;temporary use of public parks or public facilities,and no street closures. The City Manager may at her/his discretion approve an event exceeding 500 people if the event is on Private Property. 2. Events exceeding 500 people on Public property must be reviewed by City Council for approval. City Council may also review events that significantly impact residents and businesses,request use of city streets, parks,beach or other city facilities,extensive activities,and/or require alcohol permits.Special Event applications are considered by City Council during a regularly scheduled monthly meeting as the agenda allows. 3. Upon the issuance of a Special Event Permit from the City Council or the City Manager,the applicant shall obtain all other State, County, and City permits no later than thirty(30)days prior to the scheduled special event. 4. The City Manager,in consultation with Directors of affected Departments,may also impose any necessary restrictions or conditions to be observed in accordance with public safety,environmental and administrative considerations involved in the application. 5. Nothing in this section shall be construed to prohibit the imposition necessary for the carrying out of the event. Application Denial and Process of Appeal: 1. Any applicant denied a Special Event permit to conduct a special event shall be notified in writing prior to the proposed date of the special event. Said notification shall state the reason for the denial. The applicant has the right to appeal to the City Manager. 2. Appeals from the determination of the City Manager,as to the denial of a Special Event permit,shall be made to the City Council. These appeals shall have priority and shall be heard at a regularly scheduled monthly meeting as the agenda allows. Planning&Zoning Department 1. Building permits—an applicant shall obtain the applicable permits including, but not limited to,electrical, plumbing, mechanical,and structural from the City's Building Official at least thirty(30)days prior to the scheduled event. An applicant may be required to obtain other permits pursuant to state law, city ordinances and the International Building Code and the Georgia Amendments. The Building Official shall make inspections deemed necessary to insure that all building code standards are followed. Non-compliance of any building code standards may be cause to cancel the event. 2. Any person or organization which is granted a Special Event permit shall comply with all applicable laws,ordinances and building codes pertaining to said event. 3. The person or organization receiving a Special Event permit shall be responsible for ensuring that its contractors and subcontractors obtain all permits and comply with applicable laws,ordinances and building codes. Page 6 of 8 City Council Approved:February 14,2013 SECTION 7: STANDARD EVENT APPLICATION POLICIES AND PROCEDURES(CON'T Financial 1. A proposed budget for the special event and a detailed explanation of how proceeds from the special event will be allocated shall also be provided at the time of application submittal. 2. The applicant shall be financially responsible for any cleaning, replacement and repair to municipal property or its accompanying articles requiring city clean-up after completion of the special event. 3. The applicant shall be financially responsible for extra personnel hours incurred by the city as a result of the use of municipal personnel. 4. The personnel hours shall include the Police Department, Fire Department, Department of Public Works,Parking Services and Lifeguard Services necessary to monitor,check,observe,control or otherwise regulate any phase of the special event, including without limitation to any planning,on-site management of the special event and support of any activities. 5. Waiver of fees for parking shall not be granted between Memorial Day Weekend through Labor Day. 6. In order for your organization to be eligible for any waiver of fees,that organization must have a contract with the City of Tybee Island. If your organization is one that has received funding from the City of Tybee Island for services provided to the City,you are eligible to request waiver of up to$2,000 worth of fees for the special event,which also includes fees associated with parades.The application fee is not permitted to be a part of any waiver of fees and must accompany the application or it will not be processed. No waived fees for alcoholic beverages,vendor fees and/or facilities will be considered. The City of Tybee Island reserves the right to request financial revenue and expenditure statements for review prior to or as a condition of any waiver of fees. Fire/Emergency Management Department 1. In the interest of public safety,the FEMD must review and approve aspects of events that may include, but not limited to, fireworks or pyrotechnics,emergency vehicle access,and use of open flame. The Fire Chief will determine whether or not FEMD personnel are needed and the event applicant shall pay for said services. Parking Services Division 1. Where public parking is to be used or restricted,the Finance Director may require that permits are issued or reimbursement be made based on standard parking fees. 2. Request for use of parking lots or spaces must be submitted in detail for approval with the application. Police Department 1. Any person or organization shall comply with security and safety guidelines set by the Tybee Island Police Department. Department of Public Works 1. The site of the event must be left in its original condition or additional charges will apply. 2. If any event requires the use of the electrical service,equipment owned by the City of Tybee,and/or labor fees will be assessed on a per hour rate and determined by the city. If special electrical requirements are needed by vendors in which the city personnel and equipment is needed,an additional charge shall be passed on to the organizer for setup and breakdown. This is only applicable for specific areas and must be requested at the time of application submittal. 3. Streets may be closed in connection with a special event at the discretion of the City Council and/or City Manager having due regard to public safety and environmental effects of such closings. All reasonable steps are taken to minimize adverse impact upon the community. 4. Vendors must use grounded extension cords and lighting that does not exceed 30 amps per vendor space if permitted. Extension cords, hoses or other trip hazards in pedestrian walkways are not permitted. S. It is the responsibility of the event organization to provide adequate toilet facilities during a parade and event appropriate for the anticipated attendance. Location(s)of said stations shall be indicated on provided site plan. One chemical toilet for every 200 people is recommended. 6. In the case of requested and approved permission for pole banner and/or flag hangings,the event applicant is financially responsible for costs incurred with the installation and/or dismantling. Sale of Alcohol 1. Events involving alcohol sales/distribution must complete an Alcohol License application for consideration. The application and information can be obtained at Tybee Island City Hall. 2. Upon TIPD review, alcohol license applications are considered by City Council at the first available Council meeting. Page 7 of 8 City Council Approved:February 14,2013 SECTION 7: STANDARD EVENTAPPUCATION POLICES AND PROCEDURES(CON'T.) 1 Sale of Food/Merchandise 1. The sale of food at special events requires a permit from the Chatham County Health Department. Food vendors that involve cooking require an inspection and permit by the Chatham County Fire Marshal. 2. Event organizers are responsible for obtaining Vendor Permits. Vendor permit applications are due with payment in accordance with City Code Sec.58-179 no later than two(2)weeks prior to the event. 3. A method must be established for the removal of used cooking oils,gray water or any other solvents from the event site. Event organizer will incur costs imposed by the city,county,and state if any solvents are left or discarded at the event site. 4. All debris in Vendor set up area must be contained at all times. The event applicant will be charged an hourly rate and dumping fee determined by the City if any debris is left and disposed of by the Public Works Department. Other 1. Temporary structures may not be anchored in the ground. If damage is done to City property,applicable fines and/or fees shall be billed to and paid by the event applicant. Indemnification/Insurance I. The applicant must sign the Indemnification Agreement at time of submitting event application. Prior to the issuance of the Special Event Permit,the application shall maintain,at its sole expense,public liability insurance covering the City properties and resultant use thereof, naming the City as an additional insured,in the amount of$1 million. 2. The applicant shall pay the premiums of the public liability insurance before the issuance of the Special Events Permit. The applicant shall furnish and deliver to the Better Hometown Coordinator a certificate or certificates of insurance,as specified in Section 5,evidencing the existence of public liability insurance in the minimum amounts described above. Each certificate shall provide that the city receive not less than thirty(30)days written notice of cancellation,expiration to termination to public liability insurance. In the event that such insurance is cancelled,expired or terminated,the applicant shall be required to obtain insurance immediately and furnish proof to the Better Hometown Coordinator. If such valid insurance is not obtained within twenty-four(24)hours after cancellation or termination,the Coordinator shall revoke the Special Event Permit and the special event shall cease. The applicant shall be responsible for submitting all certificates or insurance of its contractors and subcontractors. Page 8 of 8 City Council Approved:February 14,2013 f Affidavit Verifying Status for City Public Benefit Application By executing this affidavit under oath, as an applicant for a City of Tybee Island, Georgia, Business License or Occupation Tax Certificate, Alcohol License, Taxi Permit, Contract, or other public benefit as referenced in O.C.G.A. Section 50-36-1,I am stating the following with respect to my application of a City of Tybee Island: • Business License or Occupational Tax Certificate, • Alcohol License, (circle all that apply) • Taxi Permit, • Contract • Other public benefit _1—Vey)4- j r i C� for ('4 (printed name of natural person applying on behalf of individual, business, corporation,partnership, or other private entity). 1) _C.,2 I am a United States citizen. OR 2) I am a legal permanent resident 18 years of age or older or I am an otherwise qualified alien or non-immigrant under the Federal Immigration and Nationality Act, 18 years of age or older and lawfully present in the United States. * In making the above representation under oath, I understand that any person who knowingly and willfully makes a false, fictitious,or fraudulent statement or representation in an affidavit shall be guilty of a violation of Code Section 16-10-20 of the Official Code of Georgia. t‘..--frvtit..- 4,""'t n Signature of Applic,, 06/ 161/ 3 Date A2 c,..,( 1 c4-Ca Printed Name * Alien Registration Number for Non-citizens SUBSCRIBED AND SWORN BEFORE ME ON THIS THE DAY OF ,20 . Notary Public My Commission Expires: Note: 0.C.G.A. § 50-36-1(e)(2) requires that aliens under the federal Immigration and Nationality Act, Title 8 U.S.C., as amended,provide their alien registration number. Because legal permanent residents are included in the federal definition of"alien", legal permanent residents must also provide their alien registration number. Qualified aliens that do not have an alien registration number may supply another identifying number below: Tony's Jons, Inc. P.O.BOX 14246 Savannah,GA 31416 Ph: 912-355-8228 Fax:912-355-3931 Email:janice.tonysjons@att.net Invoice Billing Address Service Address BRIAN STAFFORD BRIAN STAFFORD 703 WHITAKER STREET ALLEY 3 CHATHAM AVENUE SAVANNAH,GA 31401 SAVANNAH,GA 31401 Phone:(912)660-9001 Fax:0 Due Date Cust# Site# Date Clerk Terms P.O.# Invoice# Page 7/20/2013 BRIAN 15394 6/20/2013 NET 30 A-108044 Page 1/1 DESCRIPTION RATE I QTY I TAX% I TAX AMOUNT I 6/20/2013 SPECIAL ORDER 65.00 1 65.00 Total 65.00 PLEASE INCLUDE AN INVOICE#ON ALL PAYMENTS,TO ENSURE PROPER CREDIT TO YOUR ACCOUNT.THANK YOU. CHANGE: -(NEW E-MAIL ADDRESS:janice.tonysjone att.net) I Statement as of 6/20/2013 I Future:0.00 I Current:65.00 30 Day:0.00 I 60 Day:0.00 I 90 Day:0.00 I Total Due:65.00 I Please detach here and return the bottom portion with your payment Div:A Cust#:BRIAN Site#:15394 Invoice#:108044 From BRIAN STAFFORD 703 WHITAKER STREET SAVANNAH,GA 31401 Invoice# A-108044 Total Pre-Tax 65.00 Total Tax 0.00 Invoice Total 65.00 Paid Amt 0.00 Adjustment Amt 0.00 To Tony's Jons,Inc. Balance 65.00 P.O.BOX 14246 Previous Balance 0.00 Savannah,GA 31416 Total Due 65.00 All invoices more than 30 days old are charged a late fee of 1.5%per month or 18%per year 0o °o `Ia 4 o U N N O m o 0 (O (� N m O m _a i/i i— 15 5( co "x. co o z °x in z m W 0 of o O n o 1. E S � w ow m Z M oi \..) 4 (U m C m L . 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A c m W 0 (/j C C u) w 1-'• t U) m C m d 7 N > /- u0) Cl) Z O W u) 3 v0i N c 4' m .c .o > > E 0 C9 a co al 2 > 0 - a. I d Z < a (/) OO � .• E ° C dv)° v b t e. a) 7 V •C wm° v C'i M Ln N (0 (m0 I- 0) O M \ 77c04- m d u? U' e r- r' a- a- r N N N N < a. 7 r4 .0 5 E .: r:, 0 GEORGIA MARINE EVENT PERMIT (1f1'AR7M[Nf M Nn71iRU RfM11Rtf[5 LAW ENFORCEMENT'DIVISION INSTRUCTIONS 1. Before completing this application form,a person desiring a marine event permit should read Chapter 391-4-5 of the Rules of The Department of Natural Resources governing marine events. 2. Print or type in ink to permit reproduction. 3. Applications for marine events must be received by the Boating Law Administrator at least 30 days prior to the event. Applications for water events (10,000 or more participants and spectators) must be received at least 90 days prior to the event Unless a special deadline for a restricted water is in effect. Complete and legible faxes are acceptable. 4. Attach a copy of a chart,map,or scale drawing showing boundaries and/or courses and markers contemplated. NAME OF EVENT LOCATION OF EVENT `- ,e i74 l 1 ,, A�>le, P' -r'( -;- -Eo c,..,b 51-„ DATE OF EVENT TIME(START/FINISH) ANTICIPATED NUMBER OF 6/2 ��� � ���� PARTICIPANTS SPECTATORS 360 DESCRIPTION OF EVENT rr SPONSORING ORGANIZATION f/00'1- in i n n t r —L be.5 PIr ter∎ (Name,Address) �� �DI � Gh1a 71—/0r15 Al/ a -le -H4 c/'4 ch,ick - 3 hl >c -✓ S-Ltc1- 5:cLati e-u- ] Glet 3/Yo ALL APPLICANTS COMPLETE SECTIONS A &D As req "red by O.C.G.A.§50-36-1,I hereby verify that I am lawfully present in the United States as follows[Place your initials in the applicable block below]: /�1[j� I am a United States citizen or legal permanent resident eighteen(18)years of age or older; OR I am a qualified alien or nonimmigrant under the federal Immigration and Nationality Act,Title 8 U.S.C.,as amended;I am eighteen(18)years of age or older;and I am lawfully present in the United States. My alien number issued by the Department of Homeland Security or other federal immigration agency is: SECTION A Check appropriate box for each question: 1. Will the event attract more than 500 spectators and/or participants? Yes❑ No 2. Will the event preempt public use of the resource base? Yes❑ No f 3. Will the event be publicized by paid advertising in the news media? Yesl No❑ 4. Will all participants be knowledgeable,prior to the marine event, YesN No❑ of the requirements of the Georgia Boat Safety Act? 5. Has the person with management jurisdiction over the affected water Yes tY No LI body been notified of the proposed marine event? If questions 1-3 can be answered in the negative and if questions 4 and 5 can be answered in the affirmative,a permit exemption may be returned to the applicant. If a permit exemption is not anticipated after responding to the foregoing statements,the applicant must: • Complete Section B and D if fewer than 10,000 participants and spectators are anticipated. • Complete Section B,C,and D if 10,000 or more participants and spectators are anticipated. SECTION B To be considered for a permit to conduct a marine event,the applicant shall complete the following: 1. Descri.tion of Vessel Construction Material: ■ f 4.4e- Does * I the sponsor agree to remove any nonbuoyant material which Becomes detached and/or sinks during the course of a marine event? YeseK No❑ 2. If requested by the Department,can the sponsor provide: • Sufficient solid waste containers? Yes No❑ • Verification that participants and sponsor-approved concessionaires Are aware of the Georgia Litter Control Law Yes No❑ • Sufficient sanitary facilities? Yes No❑ • Recovery and disposal of sunken and floating marine event Generated debris? Yes C�7° No • Marine event site restoration? Yes-A No❑ • Public notice of the time and location of the marine event? Yes No❑ • Navigational aids? Yes fr No❑ The Department may impose any other requirements deemed reasonably necessary to prevent the degradation of the natural resources. SECTION C To be considered for a permit to conduct a water event(10,000 or more participants and spectators),the applicant shall submit a plan (as an attachment to this application form)which specifies how the following requirements will be met; • Water event bonding in accordance with the Georgia Boat Safety Act of 1973,as amended by Georgia Laws 1981,p.987 • Public safety • Boating safety • Vessel construction materials • Schedule of activities • Solid waste disposal • Sanitary facilities • Debris recovery • Site restoration For more detailed information about this requirement, see Rule 391-4-5-.15. SECTION D The undersigned has full authority to represent the sponsor and certifies that the above information is true to the best of his/her knowledge. Siyiature/Orgapization Affiliation Name/Address/Phon mber 70 s $- 'eels . So"Prr,,n,'4- G& S Ho Mail to: Department Use Only Date: 7 e 3 4./1-1,1 - Sir-teli� CY+ 3(.4Q( Exemption Approved❑ Denied CI Permit Approved❑ Denied❑ Signature: Please provide Email Address: 5411.-ge-al / P. 1 * * * Communication Result Report ( Jun. 20. 2013 1 : 18PM ) * * * 1) 2) Date/Time: Jun. 20. 2013 1 : 17PM File Page No. Mode Destination Pg (s) Result Not Sent 1546 Memory TX 6524180 P. 2 OK Reason for error E. 1) Hang up or 1 i ne fail E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—mail size N ! 1 +P P = r 7. PPpr. t 1 $ i ti i i 1iiii � kJ hie \ i 4 P' S II" I -S ?) 12 Foil Ft 1 p -=o J f 1 ie.° �' Y D at S �a W 3 S a1f C 3 g F i to n 9 '' I „ 3 �` l 11:1 Z 111 s. . N r 11 vl I I o v. Xg Xf E El f i 1 q 4 1 P. 1 * * * Communication Result Report ( Jun. 20. 2013 1 : 20PM ) * * * 1) 2) Date/Time : Jun. 20. 2013 1 : 17PM File Page No. Mode Destination Pg (s) Result Not Sent 1547 Memory TX 2623166 P. 2 OK Reason for error E. 1) Hang up or line fa . 1 E. 2) Busy E. 3) No answer E. 4) No facsimile connect ion E. 5) E x c e e d e d max. E—m a i l s i z e ggsow-A ...MARINE EVENT PERMIT lAwevroncni.ENTTxvatost INSTRUCTIONS 1.Bdiee eomple0ngthf.nook canon form,a.perms desiring=zinc event par&dadd and Chapter 791-0-5 albs Roles a'The Department of Natural Samos gumming marks senta 2.Print or type in ink eepennkreproauction. 1. . i 1fr . .event.nut, ed _Boat.•Ca... date arias•to the meat.Appocatias for mash agog(10,000 er mem participants and sper9ms)m e be received a leas 90 days prior to th0 meet Odense special deadline for restricted osier isle effect Complete and legible feces are aaxptabie. 4.Attach a copy of.dint,map,er ante drawing slurping baodsim eedtar comes and maker. eoedenplated NAME OF EVENT LOCA781N OF EVENT fF/ I -am„k c.,43 ab f-J0A l,f 1 a 51,a9ck DATE OF EVENT TIME csrmaN1N1 14 ANTICIPATED NUMBER OP PARTICIPANTS SPECTAT ORS RS D/z 13 2 p.e 3ca DESCRIPTION OP EVENT SPONSOR}OBOANIZAITON 1 roar.1+en 5 /7lty a -1e tic Cee'evy Shack -yd s rM .ASSN. c4,--caf !rR•h9nr�p(y GW 31 Y t ALL APPLICANTS COM7LEIE SECIIONS A&D A.o.sr.sdMac.C.A.Fs+s4,1rebsedeantranb.tn>bmu.t..noMira err mss.Momsystmmbla appeewmean my. Y\Iam•Ile-dedStatet eider arInaIpem.mtaddeat (1433....1 no OR lam aspade.a9an oreeubutigr.nt under tbefedrrat ImegrH6.red PlatintAtity Prat,Tidal EEC,as eamdub 1m e (13)yeno d.ge er.Idol sod 1 aatslNy pnaesfa the United°"e.lily earn lumber Issued byrheDepweeter B®rbaddemdty or other federal immigration matey is: SECTION A Cheek appropriate boa for sad gmNee: 1.Well the event and more ter 500 grandam myerpatiaponsT Yea CI No IS 2.Will the word putemptpdahame of tbe mama base? Ys❑ No IY 3.Wit,the mad ho dlidatdby pid a Iewnmg in the n.e.made Yelp No 0.Willall partidpoeE ha knowledgeable,prior-to the endue event, Yea No of lbempoire.nwn of the Georgia Sow.SeEty Ard S.Hs do peon hit managetenntindedlodon werthe affeud wax Yea I/ NEC bag ben esifiad of tin proposed eons avant? Yquesdran 1.3 ere be osweedio the negative and question.d and S gas beanswered 1n the of hcriIee.•petit gumption may be returned s the applleant. Ifapeat®plionia mot anticipated age mtpodiagtoth.fsagningarmen.,the tmot ▪ Cm*. flediCINIIRSI0 p•tlaPua sad rpoarocemshdp>eed • CompialeSection B.C.and Rloyroernaepgacipnnh and spostabas sre midpmd. TYBEE FLOATILLA July—September 2013: Budget Breakdown Expenses /float 300 Wristbands: -$300 300 Koozies: -$300 300 t-shirts: -$1500 300 floaters: +$9000 Expenses/ summer: $2500 on advertising $2500 on insurance Donations to non-profits are hard to put numbers on but every penny raised in on the website, www.TybeeFloatilla.com under past events. Stafford Promotions are donating $2000 to the Coastal Pet Rescue; $2000 to the Tybee Marine Science Center; $2000 to the Tybee Beautification Society; $1000 to the Georgia MS Campaign; $500 to the Tybee Marine Rescue Squad; and $500 to the Islands Feral Cat Project from the first two Floatilla's in 2013. July 8, 2013: Tybee Service Industry Floatilla "Christmas in July" Tybee Service Industry Floatilla"Christmas in July"benefiting benefiting the Priceless Gifts Campaign, Tybee's Mayor Motorcade, and all the church's of Tybee Island. Start: July 8, 2013 2:30 pm End: July 8, 2013 6:30 pm Venue: Alley 3 Address:3 Alley St, Tybee Island, 31328, United States Cost: $30.00 July 21, 2013: Tybee Floatilla "Will Float for Safety" in memory of Wesley Franklin Tybee Floatilla"Will Float for Safety"benefiting Tybee Fire, Tybee Police, and Tybee Marine Rescue Squad. Start: July 21, 2013 1:00 pm End: July 21, 2013 5:00 pm Venue: Alley 3 Address: 3 Alley St, Tybee Island, 31328, United States Cost: $30.00 August 18, 2013: Tybee Floatilla "Will Float for History" Tybee Floatilla"Will Float for History"benefiting the Tybee POST Theater, Tybee Historical Society, and Save our Rails to Trails Start: August 18, 2013 12:00 pm End: August 18, 2013 4:00 pm Venue: Alley 3 Address:3 Alley St, Tybee Island, 31328 Cost: $30.00 September 1, 2013: Tybee Floatilla "Will Float for Kids" Tybee Floatilla"Will Float for Kids" benefiting the Burton 4H Center, Eastern Surfing Association, Fresh Air Home, and Surfers for Autism. Start: September 1, 2013 11:00 am End: September 1, 2013 3:00 pm Venue: Alley 3 Address: 3 Alley St, Tybee Island, 31328, United States Cost: $30.00