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299-1 Atlantic Blvd OUTS24-0001 Permitrsfr�,. OUTSIDE SEATING REVOCABLE LICENSE AGREEMENT City of Atlantic Beach P1 Building Department 800 Seminole Road Atlantic Beach, FL 32233 *Please submit form in person (P) 904-247-5800 or to buildn�j-.,-pt@coab.us This Agreement made this day of /\/O ✓ 20 Z`r! by and between the City of Atlantic Beach through its City Manager ("City") and ,¢NOES S35 /a, 3, ("Applicant"). 1. City hereby permits APPLICANT to use the City right-of-way located in front of the property located at i / V b, and described on the attached site plan and herein -after referred to as the "Premises", commencing on �A-N Z 20 Z�_ for the following day(s) of the week M —5,q7— beginning SATbeginning at /0 Op/p.m. and ending atm a.m./o. each day in consideration for the promises made in the outside seating application, to which the Agreement is attached, and the payment as set f rth in said application. ,A,'65 c uta LO/ 2. The term of this agreement shall be for a one-year period and the annual fees a I be two dollars ($2.00) per square foot of the outside seating area for a total annual payment of $12�; and shall not be transferable. A licensee may apply to renew the license by submitting a renewal application no later than thirty (30) days prior to the expiration of the agreement. 3. Use: The APPLICANT shall use the premise solely for the purpose of: —�?> 4. The City Manager may revoke or suspend this agreement in accordance with Section 19-8(fl. In the event of any such revocation or suspension, the APPLICANT shall have the right to initiate an appeal by filing a written notice of appeal with the planning and community development director within ten (10) days of any such revocation or suspension. 5. The APPLICANT and property owner shall remove all improvements in the right-of-way and restore the right-of-way to pre - improvement conditions no later than thirty (30) days after the expiration of this agreement or the licensee vacates the adjacent business. 6. Indemnification Clause: The APPLICANT accepts and voluntarily incurs all risk of any injuries, damages, or harm which might arise during the work or event that is occurring on the CITY's property due to the negligence or other fault of the APPLICANT or anyone acting through or on behalf of the APPLICANT. 7. Ordinances and Regulations: The APPLICANT shall comply with applicable laws, statutes, ordinances, regulations, and ! requirements, as may be amended by the city from time to time. APPLICANT shall not admit to the premises a larger number of persons than the total number designated by the appropriate City Department. 8. Responsibility for Damage: If the Premise, or any portion of the Premises, or any structure, equipment, fixture, or other item on, in, under, or attached to the Premise shall be destroyed, damaged, marred, altered, or physically changed in any manner whatsoever, than APPLICANT shall be responsible for restoring the property to its original condition, ordinary wear and tear excepted. 9. Insurance: As a condition precedent to being permitted to use the Premises, APPLICANT shall, at its own expenses, comply with all of the City's insurance requirements as set forth in Section 19-8(d). / l IN WITNESS WHERE APPLICANT has executed this agreement this 1 day offf6yol&Q�-,20144 (Signature of City Manager) � +h � (Signature of Owner) Signed and sworn (or affirmed) before me this day o Signe and sworn to (or affirm d) before me this /6tqday of �I1VsLYh�j2Y , 20'L4- by W`1 MM ffi TA � D by Signature otary ��� Signatur of Notary 7L! )- wl` [ Personally Known OR [ ] Produced Identification [Xrsonally Know OR ]Produced Identifica01 ion Type of Identification: LADAYIJANICHOLS a MY COMMISSION # HH MM EXPIRES: February8, 2026 Type of Identific r�� pu' •. NANCY W. FR'ELiMN Notary rublic • State of Florida Commission M HH 390086 of ry?, My Comm. Expires Aug 19, 2027 Bonded through National Notary Assn. OUTSIDE SEATING APPLICATION City of Atlantic Beach Building Department 800 Seminole Road Atlantic Beach, FL 32233 (P) 904-247-5800 APPLICANT FOR INTERNAL OFFICE � US�EyONLY PERMIT# O��I—ydD_ ._l APPLICANT NAME (Please indicate if Owner or Lessee) Angies Sub Shop -AB LLC (Ed Malin, lessee) PHONE # 904-993-3474 BUSINESS BUSINESS NAME Angie's Sub Shop - AB LLC CITY Ponte Vedra Beach PROPERTY EMAIL angiessubs@gmail.com BUSINESS ADDRESS 13 N. Roscoe Blvd. STATE FL ZIP CODE 32082 PROPERTY OWNER Southcoast Capital Partnership-Kristie Pecci PROPERTY ADDRESS 299-1 Atlantic Blvd. CITY Atlantic Beach PHONE # 904-874-3664 STATE FL ZIP CODE 32233 EMAIL kristie@lovettmiller.com FEES: $300.00 application fee and annual fee of two dollars ($2.00) per square foot of the outside seating area. APPLICA ST VIDE THE FOLLOWING INFORMATION: Written consent of property owne Copy of a valid COAB Business Tax License and any other applicable operating licenses JWL %J pEb Proof of Insurance* Outdoor seating area plan** q Hours of Operation: 10^q (4-W 10-/Z _g-,9A-Tf__ El Proposed use of the proposed outside seating area (services to be provided) p;V4=4 OR T,4)&E-0W'tWAT70� AA Photographs, drawings of manufacturer's brochures describing the appearance of all proposed tables, chairs, umbrellas, or other objects ❑ Completed Revocable License Agreement ADDITIONAL MATERIALS TO BE SUBMITTED AND ATTACHED (IF APPLICABLE): ❑ If deemed necessary by the Planning and Community Development Director or designee, the applicant shall submit a survey showing the right-of-way including any utilities, fire hydrants, pavement locations, and other objects in/on the right-of-way. * Insurance requirements in Section 19-8(d) ** The Outside Seating Area Plan shall mean a drawing to scale showing the layout and dimensions of the portion of the proposed outside seating area and of the adjacent private property, right-of-way and sidewalk; The size and number of table, chairs, lighting, steps, planters and umbrellas, as applicable, and any other items proposed to be located within the proposed outside seating area; The location of doorways, trees, parking spaces, parking meters, bus shelters, sidewalk benches, trash receptacles, signage and any other obstruction either existing or proposed located within fifty (50) feet of the proposed outside seating area. OUTSIDE SEATING APPLICATION 10. 11.2024 -�-r-1 EDWAAMA-03 KSMITH7 ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY) _ 10/30/2024 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 have ADDITIONAL INSURED provisions or 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 CT Hub International Florida PHO" mak; [904 398-1234 c No):(904) 396.7432 10739 Deerwood Park Blvd Suite 200 VAA ,5$; joanie.newton@hubinternatlonal.c_om Jacksonville. FL 32256 1... INSURED EDWARD A. MALIN AND KRISTAN CLOUDMALIN CO Trustees under The Kristen and Ed Malin Living Trust Angie's Sub Shop - AB LLC 13 N. Roscoe Blvd Ponte Vedra Beach, FL 32082 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 I TYPE OF INSURANCE ADDL SUER- INS0. JW.POLICY NUMBER POUCY EFF POLICY EXP LIMITS LTAA I X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,0 CLAIMS -MADE a OCCUR AA604632 7115!2024 1130l2O25 DAMAGE TO RENTED S 300,0 GENT AGGREGATE LIMIT APPLIES PER: 4 POLICY ❑ JEC F � LOC _ OTHER: _ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUT OS ONLY AUTOS ONLY — UMBRELLA LUIB– ! OCCUR EXCESS LIAR ~ CLAIMS -MADE DED RETENTION $ �I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIIETgOERIPARTNERIEXECUTIVE We VWF115E Mry iM n NH)REXCLUDED? If yye8s, describe under DESCRIPTfON OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addi(lonal Remarks Schedule, may be attached N more space is required) For insurance Purposes Only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. 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