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Home My Public Portal About090_010_Nicki's 1971 Alcohol & Entertainment License July 11 2013 MAYOR ' ' CITY MANAGER Jason Buelterman Diane Schleicher CITY COUNCIL CLERK OF COUNCIL Wanda Doyle, Mayor Pro Tern Janet LeViner Bill Garbett , Paul Wolff CITY ATTORNEY Tom Groover * B Edward M.Hughes Barry Brown tx sE '4 Jan Fox 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: July 11, 2013 Item: Alcohol and Entertainment License Request: Liquor/Beer/Wine/Sunday Sales - Entertainment Explanation: Nicki's 1971 (new owner)-Full Service Restaurant 1513 Butler Ave _ Budget Line Item Number(if applicable): Paper Work: X Attached* Audio/Video Presentation** * Electronic submissions are requested but not required. Please email to ileviner@citvoftvbee.org. ** Audio/video presentations must be submitted to the IT department at City Hall by 4:00PM on the Thursday prior to the scheduled meeting. Submitted by: Sharon S. Shaver Phone/Email:472-5072 / sshaver @cityoftybee.org Comments: Date given to Clerk of Council June 18, 2013 .0.Box 2749—403 Butler Avenue,Tybee Island,Georgia 31328-2749 (866)786-4573—FAX(866)786-5832 www.cityoftybee.org CITY OF TYBEE ISLAND ,1-7------N ALCOHOL LICENSE APPLICATION Application is hereby made for a license to do business within the City of Tybee Island as a dealer in alcoholic " ,`'% beverages as indicated below: LICENSE CLASSIFICATION FEE CHECK Notice: The applicant Retail Beer/Wine-Package Sales Only,Consumption on Premises Prohibited , $ 350 for a license shall be a Retail Beer/Wine-Sale by Drink for Consumption on Premises Only 575 citizen of the United Retail Liquor-Sale by Package Only,Consumption on Premises Prohibited 850 States, a resident of Chatham County, and Retail Liquor-Sale by Drink for Consumption on Premises Only 1,250 owner of the business Retail Liquor-Sale by Package&Drink both in One Building under One Ownership 2,000 , or if a corporation, Sunday Sales-Sale by Drink for Consumption on Premises Only 150 v partnership or other Sunday Sales-Package Sales Only 50 legal entity is the Wholesale Beer 765 owner, a substantial Wholesale Liquor _ 1,500 and major stockholder Wholesale Wine 150 or the applicant may be Distiller,Brewer,or Manufacturer of Alcoholic Beverages 300 the manager of the Special Event-Public or Private Property-Beer,Wine(no current license)per event 50 business charged with Special Event-Public or Private Property-Beer,Wine(no current license)3 days 100 the regular operation of Special Event-Public or Private Property-Beer,Wine(holding current license)per event 10 said business on the Special Event-Business Property-Beer,Wine,Liquor(no current license)per event 50 premises for which the Special Event-Business Property-Beer,Wine,Liquor(no current license)3 days 100 license is issued. Special Event-Business Property-Beer,Wine,Liquor(holding current license)per event 10 Business Name ( t i ' S 191 t L7 Location 1 r r.,�.- `k . - Pt„.1 t 0(2._ 5 i+GL. a , . d Mailing Address ,r-r Phone �0�-�4 ��`�-�.�,I._{L� �� Email .L��.nC� [�--� .�I �r 1The a krN'C)aQ j T C !1 Ll C_h .C(AM Names and Home Addresses of Owners, Partners or Corporate Officers with Ten Percent(10%)Interest in Business Names(attach additional pages if necessary) Date of Birth Home Addresses City,State,Zlp Social Security If special event,date(s)of event i) i N Is business incorporated? C^1 C State of Incorporation Date Incorporated Names of landlord of the business location I�'r(- i A X 11.Q.Address Phone What other business is conducted at this location? --Po['r ` 4 aS Has application been made for required State and Federal Licenses? tt t; Has applicant,any person connected with,or any person having an interest in this business: o ever been convicted of any violation of law other than for a traffic violation? ; •. f'l S ` -1M1► , 1- o ever served time in prison or other correctional institution? tm 0 o ever had an alcohol beverage license suspended or revoked at any time in any location? t"--s,0 (if answer is yes,give details) If this application is for RENEWAL of an existing license,enter License Number of existing license > C) If business is an eating establishment,are SUNDAY sales of alcoholic beverages contemplated? �. i e S If yes,submit additional affidavit. ALL OF THE FORE • • INFORMA .N I A EREBY GIVEN AND ALL OF THE FOREGOING STATEMENTS ARE HEREBY MADE ON OATH WILLFULLY, KNOWINGLY,AND ABSOL•1 ELY,AND j E z ME I' ND ARE HEREBY SWORN TO ME TO BE TRUE UNDER PENALTY OF LAW. Applicant Signature ' ' . r A ,, ._ Approval Signature Date 4/11 , _ City Manager Sworn subscribed before m=.thi-f • day o" ■ __ 0 i , Police J. tP�.. i.i� ■ k J Oty Council• Notary'. ,y' .- E . F. . SHARON S.SHAVER Notary Public,Chatham County,GA My Commission Expires Dec. 5, 2015 The CONSENT FORM is required for ALL alcohol license applications. CONSENT FORM I HEREBY AUTHORIZE THE TYBEE ISLAND POLICE DEPARTMENT TO REQUEST ANY CRIMINAL BACKGROUND HISTORY RECORD INFORMATION PERTAINING TO ME WHICH MAY BE IN THE FILES OF ANY STATE OR LOCAL CRIMINAL JUSTICE AGENCY. BE IT FURTHER UNDERSTOOD THAT THE PURPOSE OF OBTAINING THIS INFORMATION IS TO SATISFY THE REQUIREMENTS SET FORTH BY THE MAYOR AND COUNCIL OF THE CITY OF TYBEE ISLAND,REGARDING AN ALCOHOL BEVERAGE LICENSE APPLICATION. FULL NAME(PRINT) SEX / RACE / DATE OF BIRTH ADDRESS �/ '■C1AL U• y UMB 1' L3 1G`,, ,d t'. i �+`s d ■ .1.:FAl_ _ nJ ''fJ CITY,STATE,ZIP SIGN RE I DATE The ACKNOWLEDGEMENT is required for all LIQUOR BY THE DRINK alcohol license applications. ACKNOWLEDGEMENT I declare knowledge and understanding of Municipal Code Section 58-80: There is levied an excise tax on the sale po.of di , •irits ■ the + ink it the amount of three percent of the charge to the public for the beverage. sI#' r . DATE The AFFIDAVIT is required if SUNDAY SALES of alcohol for consumption on premises are contemplated. Food and beverage sales records prepared by a CPA are required to be furnished to the City upon request STATE OF GEORGIA COUNTY OF CHATHAM CITY OF TYBEE ISLAND --ti AFFIDAVIT I, 4' v1-6:ii' t i L /1l , do hereby make this affidavit to be part of my application for an alcohol bage license in the City of Tybee Island to sell distilled spirits, malt beverages and/or wine for the consumpboa on the premises in my eating establishment on Sunday. Said establishment is located at 15)3 V .4-tter :` J ,Tybee Island, Georgia. I am the c--",7c'lQ-i — of the establishment known as 1`J Ec: r'`-`, iq ( . u I hereby further state that at least fifty percent (50%) of the total annual gross food and beverage sales are `1--C- deriv 0 the safe of p -pares meals or food. i t . --c) ('-`)`'- )3 -- ) f SIGNA' RE DATE I kirl Approved m.ik.- Chief of Police ('Wilt. Date IF ` . r CITY OF TYBEE ISLAND Fee $50 ENTERTAINMENT LICENSE APPLICATION ' penally or a renewal payment made Chapter 34,Article VII. Entertainment Licenses after March 31. Business Name i,j \ L 'S I ci i \ Business Location 'i 51-3 tcv l iZ1- ipk,je \ � ,� e s ccri �{, ['c .- ` 3 9 (^/ Mailing Address C73 0 S r`�t1D } _ -��t n GA-�s c� lI s7 Q2 Business Phone OI I -1)i Le - (-1411/Li Other Phone —70(0' 9.3. 1)99 Email 04 e_i n 9t0 r i&�+f Federal ID# /44)-_ �j u. O t State Sales Tax ID#)0/q 9 N ty q/Y NAILS Code Business Type(circle one): } le Proprietor Partnership Corporation 7 7LLC Non-Profit Other: Names and home addresses of Owners,Partners or Corporate Officers Name Home Address City,State,Zip Title 019 Lt ,l∎c u-m i Cto3 carps AX istaI GA 313 V ownPK The nature of any and all commercial activities conducted at the location: ct Scs, P\\Co 'o\ )c,'Ie Proposed hours of operation: \VV-oo a.er, - 3 • DO af'r% Describe any efforts to mitigate impacts on neighbors or occupants of nearby properties: Contact information for the designated manager or contact person available twenty-four hours a day for any operational issues. The license holder must notify the City of Tybee Island immediately of any change to this designated contact information. me Physical Address Phone `-'413 LO-)n( Cu-r'n (P(3'3 00Q t iy '"`2nc -7Uto- S'33 - l,R gel Has this business or anyone connected with this business been cited or charged with any violation of Georgia Law,Federal Law,Local Ordinance,or Rule or Regulation of the State Revenue Commissioner or any Rule or Regulation of the City or County within the past 12 months?(drde one) YES orO (If YES,list details below) `` (Tap- Applicant Signature A Date W y � ,f Printed Name 0 �f/ � Received by ' .,(. 'l'l I , 9.d'C— Date (e.1 --,�+,��If� ROUTE APPROVE or DENY SIGNATURE DATE RECOMMENDED RESTRICTIONS/CONDITIONS City Manager Planning&Zoning Mgr. Police Chief Fire Chief Mayor/City Council 1 Date of consideration: Approved with restrictions or conditions: Reason for denial: Date mailed to applicant: 403 Butler Avenue, P.O. Box 2749,Tybee Island, Georgia 31328-2749 (912) 786-4573 FAX(912) 786-5832 www.oityoftybee.orci