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Home My WebLink About04-2830 '1--' I- I CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 2830 Permit Number: Permit Type: Class of Work: Proposed Use: Contractor: Square Feet: Est. Value: Improv. Cost: Date Issued: 3/15/2004 Name: JOHN TRENTER Total Fees: 44.00 Address: 37750 ALISSA DR Amount Paid: 44.00 ZEPHYRHILLS, FL. 33542 Date PaicJ:_~L15/200i~_____-----.-- Phone: --------'----~-- --- Work Desc: POWER SUPPLY FOR CATV 2830 ELECTRICAL MISC ELECTRICAL MISC NOT APPLICABLE MORTON ELECTRIC Address: 37750 ALISSA DR ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Section: 4 ROUGH LECTRIC FINAL @~7.1-~ ;-()I./ ~~ 11:/()6l~ CONSTRUCTION POLE 1 ---- --- -_.------- ----.-..-- ----_.---- --.. -------.--.-------..-- ----- -------- --_.-...------- 1 il-~~t~~~~~~ J.~~a=:~n~~a~~;r~?-~~1;~~~~1~;rr;~-1:~~-~~~~~~~fY s~~ 1 t~e a~~d~fiio-~r:~~-~:~;;o~ each trade: I (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or I corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to .1 the person owning same ."Warn-:L:D.g-l:o-owne::t:-YOti:r-fairure-1:0~-rEH::o-rcraIlo-erceoTcommencfemenl: -may-restirt -:L:tcyour--- - paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an. attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. ;LtJ/ ~ CONTRACTOR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ,--- I ' I I CITY OF ZEPHYRHILLS 5335-th street (813) 780-0020 ELECTRICAL PERMIT --, 2830 Permit Number: 2830 Permit Type: ELECTRICAL MISC Class of Work: ELECTRICAL MISC Proposed Use: NOT APPLICABLE Contractor: ATA ELEC. CO. Square Feet: Est. Value: Improv. Cost: Date Issued: 3/15/2004 Total Fees: 44.00 Amount Paid: 44.00 Date Paid: 3/15/2004 ------work Desc: POWER SUPPLY FOR CATV Address: 37750 ALISSA DR ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: Address: Phone: 44.00 I I @ ~! ~i~Jc~ I~' Yi ROUGH ELECTRIC FINAL I I PRE-METER I I "-",..._- .~-._--.~'--------.-.._-_._----_.__._-.__..,----. -_L______________,__ K~J.l\I::;J:'~C'l'J.O.N 1"~~::; :---wnen---exErarrrspecE10h---cr~ps-are necessary-dUe-l::o-a:fiy ofie-OIt:ne------ following reasons, a charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or I corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible f. The.... .p. a. ymen..t. Of. inspect,.ion. f,.ees ..s..ha.l.l..be made b. efo, re anY.fU.. rther pe. rmit.s Wil..l. be is. sue.. d.. to the person owning same ~" "Warnug---eo-owner--r--your- 'TarTure---eo---recora-a-noci:ce---o-rcommencemeIl1:-may---r-eSuT1:1Ii-your- ---- I paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. ~ PERMIT OFFI INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ;.. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 ~ ~ 813-780-0020 FAX: 813-780-0021 ~ /~J't~ DATE RECEIVED, / tq,-- PHONE CONTACT FOR PERMITTING OWNER' 5 NAME \10"'-11 1Y1, IrefJ'f-<~ / )3f'1/Qh t !IollJe JOB ADDRESS 3775"'0 AI/59;" /JR. LEGAL DESCRIPTION: LOT (5) F BLOCK 11 PARCEL ID # /r--;)"6 - J../- 0/7 D - Oft/DD - txFo Ail1, PHONE 7 ~ 7 - '1 321- 7.) c3 L/ SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION D ADDITION DALTERATION DREPAIR ~ INSTALL DSIGN D MOVE D DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK CJc1jV BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED D BUILDING $ VALUATION OF TOTAL CONSTRUCTION Ii,ii! ELECTRICAL 60 AMP SERVICE ~ FLORIDA POWER D W.R.E.C. D PLUMBING D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO qO~gTO;R.iSECTION BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** EUCTRIC~ j SIGNATURE t 1&/ ij~ COMPANY AjIJ f./ecfr;c I/1 C . 82;."9 '3 STATE CERT OR REGIST # ****************************************************************** PLUMBE~ COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign po~tions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to corrunencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has corrunenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is corrunenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a period of six months after the time the work is corrunenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $~ VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~j,Lr&,f:tJ SIGNATURE: OWNER OR AGENT subject to "deed restrictions" 'Which, undersigned assumes responsibility for SIGNATURE: CONTRACTOR acknowledged , 20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 20 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Ddid O:iid not take an oath Dwho has produced (type and whoD did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped \,IAIL 10: . , ,,' --mcO'CGUHTV DEVELOPMENT REVIEW WE~n PASCO GOVT. CENTER 5-230 7530 LITTLE ROAD NEW PORT RICHEY, FL 34654 (727) 847-8142 (352) 521-5144 lJ> l" RIGHT-Of-WAY USE PERMIT' __ PA~CO CQUNTY - USE PERMIT - Ii J) I' ( 1-- \ )/ /./ '-..J.: GENERAL INSTRUCTIONS ,/,: I .,..i I \,.' ", "Sunshine-One all" (800) 432-4770 - 48 hours prior to excavation. ~";'. '-"'." , . , , No conatrUQlion, under ground or above ground, bt any facility, shall be accomplished on any County Rights of Way wilhoul wrlllen appr~~al 'from the County. Any application for approval of construction operations on any County owned Rlghls ot Way shall furnish a detailed drawing ahowlng the complete scope of the proposed work in quadrUplicate to the County for review and approval prior to the commencement of any work. A copy o' this permit mu.t:b. k.pt r.edlly avaUabl. at th. "t. of th. work at all tlm...I. Sec. No, T .~ R County Road. 'j. .1,;; ':,',:/l:..i Date 10 ' .81 (/3 ' Permit For .. ,t,t': ...OU'd./llc/l,/l'- I LOCA TION (Legal Description) /or.),. ,J', .... ~:;r "'j' ~-". (Project Name) '.,1...._-- ~-...........,~..-..,- ,'. ('", ~J..,j,7. 1...,/ / r , ) of .: I,';, (Address of Permittee) /~:>,' , . ""/~;'i is;.. /V.e'htA:'~~ (Name of Permittee) ,.1", "")P -/ r;';:- ) ~ ,../ .J./. . .~. r'__~- f "". /.-, Permiulon IS hereby granled 10 /~_, O<;/i, ,,,1/ 7~ ::3 for the construction and maintenance of (DesCliption 01 Work) " '7- ...'~I t~\....((~:.::,,/}/i.. .IV subject to the following conditions: ,. The construction and maintenance of such utility shall not interfere with the property and rights 01 a prior occupant. 2, All wor$( shall be done In keeping with the standards of Pasco County and at the salisfaction 01 Pasco County, who will be noUfied alleasl one day prior to commencement 01 construction. 3. All materials and equipment shall be subject to Inspection by Pasco County, "~, During construction aUsalety regulations of the Florida Department of Transportallon shall be observed; and Pasco County shall be relieved.. of all responaibility from damage of any nature arising from this permit. Subject to the same terms and conditions, the permit holder may take such safety measure., Including placing and display of caution signs, as it may deem necessary In conduct of conslruction and maintenance work hereunder. 5, All pril/ate and all Paaco County property shall be restored to its original condition as far as pracllcal, in the opinion 01 Pasco County. 6. All underground crossing installations shall be laid at such depth as may be specilied by Pasco County, unless otherwise authorized. Installa- tlqn of utllltl_ under County roada .....t be by jllcklng and boring only. 7, The ak.ch (fourcopl..) covering the details of this installation shall be made a part of their permit. This permit is granted with the understanding thai the 8QPIicanl haa notlfted all olher utility users ill the area covered by the parmll and takes full responSibility for any damage incurred by prior installations a8 a result 01 his operations. He also lakes full responsibility lor notifying any and all utility or underground users of his proposed operations in order that they may saleguard their interests. ' 8,II,is expressly stipulated that this permit is a license for permissive use only and that the placing 01 facilities upon public property pursuant 10 this permitl.lhall not operate to create or to vest any property right in said holder. 9. Whenever Paaco County decides to further exploit the County Rights 01 Way, any or all 01 said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be Immediately removed Irom said Rights of Way, or reset or relocated lhereon.. required by Pasco Counl~ at theexpen.. of the holder of this permit. 10. The holder shall save and keep Pasco Counly harmless from any and all damages, claims, or injuries that may occur by reeson 01 the construc- lion, maintenance and operation of said facility, ' '~"'''''''''''''''l.. 11. The holder shall complete the requested work Withi~i60;;L1&O y,~r this permit shall become null and void, In the event the ~rk re- quested is not completed upon the expiration date of this permi17"P1lrCtf'Counly shall have Ihe right to complete such work and to charge the holder of the permit tor all coats incurred In completing said work, " ' 12. )rhe permlllee shall posta cash or surety performance guarant.. with Ihe County Clerk. Based on a coal estimate prepwed by the permillee's llJngineer and approved by the Counly. The amount of Ihe guarantee is 10 be an llffiounl equal to 125% of the coat to conatruct the pwmltted Improvemenls. "}nlhe 8V8nt a surety bond is posted, the said surety bond shall be made payable to Pasco County and shall obligate the sun.yto hold the Counly ('harmless In the event the holder of Ihis permit should fail 10 meet any of lis obligations, hereun. der. The bond shall also indemftlty Paaco County for all court C08ts and reasonable allomeys lee8 in the event legal acllon is required to collect or said bond. I 13. The permittee shall po8t a cash or surety maint.nance guarantee with the County Clerk based on a cost estimate prepared by the permillee's I engineer and approved by the County. The amoung 01 the guarantee IS to be an amount equal to 15o,i) of the qoat to conslluctthe permlUed improvements, \'n the event a surety bond ia ~ted It shall meet al~,t~e cr~teria stated in No. '~, a~ove, I ._" ' i .. 'J" ,.. --7: ~.. r' 1\ ; 14 SPECIAL CONDmONS (.". -:.c ,J /1/ /. (fi:' ,~, ("':-~{''-;A.,Il't.,:''\ ) '-,h....r 11J,^t. /1./..,\.) I)~;J. ,I \ "~ -- ,1. j./ ' I 17' .' ''-~7 . ) C/(,k., )~'l '''''-~ .t-/tJ....r". /.<i'D , r - "j J~' .i!1 i' , .) ,..1,1 I ~~ )\11 I C. I r J..;';",;-- . 'L~i APPROVED B~t. ->q ('.~ \c'~.... t" i ' . ,()., ."'"u.... / If i I Utilities Servicn~' '" I TraffIC RevieJ). IiI.;' j . l I I I' ill. _."_ ! 'iXcf~.icf~8n~~~e~r /':1'; I, t ~{r ,( /;' Permits & Ins~tion;.' ;' 'j I '-;;- \ t" , , "ii:I'}L'I.1 t' %~~ 'I) , " '" ( f-~,..t"..( ~..... " I C) .:....,f\; , ' '. i : I ! 'I .' . "'..j'l')'i~'_l: " ,,' ;, i.\.. ._''!'i/./() \,:" ,i .:'1:'""""4 ~1'"<[1~ ') K t it .tZ:-., . Signature ( (e i ',ii',!, SUBMITTED BY ~) ,'.. .\ l ; '>':,U,;I"./~:.. (';:~J...... ..:';';\;/O'/~I.(.,/ /J-i:7k.', Print Name and Title _ . ",' " '1 . ,.t" ,'/ I! L./ / '",' ;;J.'-LJ '~ :. J_' 7' '...i;Si t:" "1,.~4'-"l t.. -- ::'~.:; -r-,:; MaIling Addre&8 (Slreet, C;j~. State) " Public Works: ! Guarantee Estimate Review: , ' .....h/. Development Aeview Approved: (/ ~j' .....~ ,,,," '~'~ //,/' /,~/., " I,. ". ~" , >tI A j ~, j i' / . ~)r)~tJ'-:(, ',"{r Fee S -;t7/"t Paid, t' -tI' 1+,_-:, ,........-.... , I-i /' ~.,\ , ~ " _ _ I 1":)- .,..,.1 (-~-- ' ~. ",.. ~..... T elllp;-.ona-Number(lncludeAreaCocli)------- BRIGHT HOUSE NETWORKS GENERAL RIGHT OF WAY PERMIT EXHIBIT" A " Bright house Networks daily activities that do not require a specific right of way utilization permit when working within the boundaries of Pasco County right of way l'1ew Customer Service 1. Installation of service drops from serving location, 2. Installation of new aerial distribution cable from existing poles. 3, Installation of 8 second aerial distribution cable from existing poles. 4, Extension of existing aerial distribution cable from existing poles. 5. Installation of anew bwied distribution cable that does not cross or begin in the pavcement 6, Extension of an existing bwied distribution cable that does not cross or begin in the pavement. 7. Installation of two way four inch conduit system that does not cross or begin in the pavement. 8. Extension of a two way four inch conduit systam that does not cross or begin in ~ pavement. 9. InlltAJlfltion of a new pole line. 10. Extension of. existina pole line providing it does not encroach into an underground utility area. 11. Adding of new equiptment to existing cable. 12. Pulling in new underground feeder cables in an existing permitted manhole and conduit system, 13. Digging of a splice hole to splice a new cable or changing equiptment. 14. Di8King of 8 splice hole for cable acceptance testing for quality. 15. Digging of a splice hole to change the size of a cable leg for new service. Maintenance of .l!:xistin.e CATV FacHities 1. Replacement of existing service drops, 2. Rcplacementl repair of an existing aerial cable providing other aerial utility setvice still exist. 3, Replacement of existing poles providing other aerial utility service still exist. 4, ReplacP.alen1l repair of existing equiptment. 5, Replacementl repair of an existing underground feeder cable in an existing pennitted manhole and conduit s~tem. 6. Pumping water out of a manhole to maintain underground cables in conduit system. 7. Digging of splice holes to locate and repair damaged cables, 8. Digging of a splice hole to change the size of the cable, 9. Disging of a splice hole to add a side leg off feeder cable. 10. Digging of a hole to repair broken conduits. 11. Diging of a splice hole for cable acceptance testing for quality, 12. DisBing of a splice hole to repair damaged cable. 13. Digging of a hole to verify the location of buried facilities. 14. Removal of facilities no longer needed for setvice. 15. Tree trimming to clear aerial facilities. 16. Adjust aerial facilities to accommodate other users of pole line and! or to meet National Electri Safety Code. BRIGHT HOUSE NETWORKS GENERAL RIGHI OF WAY PERMIT EXlDBIT .. B .. A GENERAL RIGH OF WAY PERMIT (GRP) - is given for certain routine repetitive work not requiring a specific permit defined on Exhibit " A ,. that is 5 feet or greater from back of curb (BOC) or edge of pavement (EP). No roadway will be open cut or directional drilled with this permit. Upon completion of work the Pasco County Inspector shall be notified for a final inspection of the project. 4~" N Best Management PractiCes (BMP) will be observed at all times. NotifY SW1Shin4 State One Call of Florida at 1-800-432-4770 not less than 48 hours or more than 5 days prior to construction,and all other requirements of Florida Statute 556 will be observed at all times. MAINTENANCE OF TRAFFIC · All activities in accordance with this agreement will require conformance to the "MaJwa1 of Traffic Control and Safe Practices for Street and Highway Construcion, Maintenanoe and Utility Operations." (Chapter 316, Florida Statues) · Pedestrian, bicycle and handicap traffic must be safely maintained and nwst not be redirected into the roadway or into ditches. Use of sidewalks may not be impaired or closed for greater that 60 minutes. When a sidewalk: is to be removed means of rerouting pedeatrians, bicyclists and handicapped people must be constructed prior to sidewalk removal per Florida Department of Transportation (FOOT). Manual on Unifonn Traffic Control Revises MUTCD and American Disabilities Act (ADA), · No street shall be closed without the prior written permission of Pasco County hlSpector. At least 2 normal working days (Monday thru Friday) advance notice is required. All rnaintenan.ce of traffic plans are to be sulmitted to the Pasco County Inspector for approval prior to commencement ofconstruation. Appropriate worlc zone safety is to be follo~ed at all times. · All construation activities shall include traffic control through the work zone in accordance with FOOT" Roadway and Traffic Design Standards" Indexes 600 Seriea titled .. Traffic Control Through Work Zones." Where it is discovered that a site specific permit will be required, i.e.. during excavation existing facilities become less that S feet from BOClEP. 1) The Construction Supervisor will notify the Bright house Networks Engineer that a project Cannot be ccmp1eted W1derthe GRP. EXWBIT .. B .. COIlUnued 2) The Bright house Networks Engineer will notify the Pasco County Inspector of the situation and schedule a field meeting. (Every effort will be made to arrange the field meeting within a time frame that will not require the Construction Crew to leave the site and reshedule the work.) 3) The Bright house Networks Engineer will be responsible fur notification all appropriate personnel of the time and location of the field meeting, 4) A mutual understanding of the scope of work required to complete the project will be achieved at the field meeting. 5) At the Pasco County Inspector's discretion, a verbal approval of the work may be issued allowing work to resume. ~ 6) The Bright houao Networks Engineer shall apply for a sije specific Pemtit inclusive of all details as agreed upon at the field meeting, (If a V erbal ~proval was granted, the site specific shall be submitted as an" After -the-Fact" application.) 1) Upon completion of the work, the Pasco County Inspector shall be notified for a final inspection of the project. OOdUR1GIIT OF WAY RESTORATION · All disturbed areas in the right of way will be sodded 1.U1less otherwise directed by Pasco County Inspector. Sod must be maintained until it roots, a minimum water of2 weeks. · Vegetation, other than sod, will be restored to its pre-construcion condition. · Prior to disturbing sprinkler systems, plants and mailboxes that may be disturbed during construction, notify property owners. Replace those items that are damaged by pennittee. · The permittee shall be responsible for handling all complaints regarding the construction project. \ - w , ...,.... '. w ~ .1.: . " .- ,. ; , ,I , 1 I. t - - ."... ~~ t' ~ , f ~ ~ "" \J\ 0 ~,~ ~ -I- ~ ~. 0_,.". .., . . , ~ ~, :r. . - "-> "'" N o 0 < < DATE: ~J:z}y CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT RIGHT-OF-WAY USE PERMIT PERMIT# No construction under ground or aho\'e ground ofany faclJlty shall he accomplished on an" City Rights of Way without written approval from the CI.". Building Department. Any application for approval of construction operations on any City owned Rights of Way shall furnish a detailed drawing showing the complete scope of the proposed work in triplicate to the "ffice of the Building Official for appro,'al prior to the commencement of any work. A cop,' of this permit Is to he kept readily available at the site of the work at all times. PARCEL I.D.# 15 -.;)~ -;U -01 70 ~DI'Io~ ~ CJ 0 fo CITY ROAD A l " "55C\. cLr, DATE LOCATION (Legal Description) : Permission Is hereby granted to for the construction and maintenance of of subject to the following conditions: J. The construction and maintenance of such utlUty shall not Interfere with the property and rights of a prior occupant. 2. All work shall he done In keeping with the standards of the City Streets Department and under the supen'lslon of the City Building Official, who will be notified at least one day prior to commencement of construction. 3. All materials and equipment shall be subject to Inspection by the City Building Official. 4. During construction all safe." regulations of the Department of Transportation shall be obsen'ed allll the City shall be relined of all responsibility from damage of any nature arising from this permit. Subject to the same terms and conditions, the permit holder may take such safe." measures, Including placing and display of caution signs, as It may deem necessary in conduct of construction and maintenance work hereunder. It Is the responsibility of the permittee to place, maintain, and supervise all traffic control and devices. 5. All private and all City properly shall be restored to Its original condition as far as practical In the opinion of the City Building Ofl'lclal. 6. All underground crossing installations shall be laid at such depth as may be specified by the City Building Official. 7. The sketch covering the details of this installation shall be made a part of this permit. This permit Is granted with the understanding that the appllcftnt has notified all other utility users In the area cO\'ered by the permit and takes full responsibility for any damage Incurred by prior installations as a result of his operations In order that they may safe guard their interests, 8. It Is expressly stipulated that this permit Is a license for permissive use only and that the placing of facilities upon public property pursuant to this permit shall not operate to create or to nst any property right In said holder, 9, Whenenr the City decides to further exploit the Clt), ~Ights of Way, any or all said poles, wires, pipes, cables, or other facilities and appurttnances authorized hereunder, shall be Immediately removed from said Rights of Way, or reset or relocated thereon as required by the City Building Official at the expense of the holder of this permit. 10. The holder shall san and keep the City harmless from any and all damages, claims, or Injuries that ma,' occur by reason of the construction, maintenance, and operation of said faclll.". I J. The holder shall complete the requested work within days or this permit shall become null and ,'old. In the e'\lent the work requested Is not completed upon the expiration date of this permit, the City shall have the right to complete mch work and to charge the holder of the permit for all costs Incurred In completing said work. 12. The holder shall post a cash or surety bond with the City Manager In the sum of $ dollars to guarantee performance of the obligations herein, and to guarantee maintenance of the rlght~f-way described herein for a period of one (I) year following completion of the requested Installation, [n the event a sure.,' bond Is posted, the surety bond shall be made pa,'able to the City and shall obligate the surety to hold the City harmless In the event the holder of this permit should fall to meet any of Its obligations hereunder. The bond shall also indemnify the City for all court costs and reasonable attorney's fees In the (went legal action Is required to collect on said bond. 13. The permittee shall han a 24 hour emergency contact name and number listed be 1m". SUBMITTED BY: (Permittee)--1SR I ,3 ~ T -801) S e Signature & Title Address Phone APPROVED BY: CITY OF ZEPHYRHILI); ~ "Ddln.OOlcl~ ~~ ~ 7' Date: _~ '.__ Utilities Supenlsor 1"":>-~ ;~~w,,~ Itt~ F ~ City........' S~Sf'- Date: ~-:5'/ ~_