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3623 7FOAC5T <br /> � �j� I�(� CITY OF ZEPHYRHILLS-BUILDING DEPARTMENT <br /> DATE:� v✓ IU RIGHT-OF-WAY USE PERMIT PERMIT# I <br /> No construction uoder ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval Gom lhe <br /> City Building DepartmenL Any applicafion for approval of constniction operallons on any City owned Rights of Way shall furnish a detailed drawing I <br /> showing the complete scope of the proposed work in triplicate to th�e office of the Building Official(or approval prior lo the commencement of any work A <br /> copy ot t6is permil is to bc kept readily available at the site of the�vork at all times. <br /> PARCELI.D.# OZ-ZG-Z�-OOSO-OOAOO-O�ZZ CITYROAD HENRY DRIVE <br /> DATE <br /> LOCATION(Legal Description): <br /> - NORTH SIDE OF HNERY DRIVE BETWEEN 8TH STREET AND ENTRANCE TO 38220 HENRY <br /> noi�i�Tu�ni e i�T-k��1('��SS I�€�lf�El€?�F��TrA-I��AW�IM€ <br /> TT.TV C1TfL1�IT' .. <br /> Permissionisherebygrantedto VERIZON LLC o� 120 E LIME STREET, LAKELAND, FL 33801 ' <br /> to�the�o�se��c�io�a�ama��te�eo�eor- ONE 17"X30" HANDHOLE AND 1X1.25"HDPE WITH FOC <br /> I <br /> _subject to the following conditions: <br /> 1. The construction and maintenance of such utility shall not interfere�vith the property und rights of a prior occupant <br /> 2. All work shall be dooe in keeping with the standard I of the City Streets Department and under the supervision of the City Building Omcial,who <br /> will be notified at least one day prior to commencement of construction. <br /> 3. All materials and equipmenl shall be subject to insp I tion by the Cit��Building ORcial. <br /> � <br /> 4. During construction all safety regulations of lhe Department o(Transportation shall be observed and the City shall be retieved of all <br /> responsibility Gom damage of avy nature arising Gom this permit�Subject to the same terms and conditions,the permit holder may take such safety <br /> measures,including placing and display of caution signs,as i[may deem necessary in conduct of construction and maintenance work hereunder.It is the <br /> responsibility of the permittee to???'.' <br /> 5. All private and all City properly shall be restored t i its original condition as far as practical in the opinion of the Cily Building Omcial. <br /> 6. NI underground crossing installatioos shall be la�d at such depth as may be specified by the City Building Official. <br /> 7. The sketch coveriug the details o!this installation s lall be made a part of this permit This permit is granted with the understanding that t6e <br /> applicant has notiGed all other utiGty users in the areu covered bylthe permit and takes full responsibitity(or any damage inwrred by prior installations as a <br /> result of his operations in order that they may safe guard their interests. <br /> � <br /> S. I[is expressly stipulated that this permit is a Iicense�for permissive use only and that the placing of facilities upon public property pursuant to <br /> this permit shall not operate to create or to vest any property right in said holder. <br /> I <br /> 9. Whenever the City decides to further exploit the City Riehts of Wny,any or all said poles,wires,pipes,cables,or other facilities and <br /> appurtenances authorized hereundeq shall be immediately removed from said Rights of Way,or reset or relocated thereon as required by the City Building <br /> Ofticial at the expense of the holder of this permit. <br /> lU.The holder shall save and keep the City harmless from any and all damages,claims,or injuries that may occur by reasoo of the construction, <br /> mainteoance,and operation olsaid facility. <br /> I l.The holder shall complete the requested work within 6� days or this permit shall become null aod void.In lhe event the work <br /> requested is not completed upon the ecpiration date of this permil,the City shall have the right to complete such work and to charge the holder of the permit <br /> for all costs incurred in completing said work. <br /> 12.The holder shall post a cash or surety bond with the City Manager in the sum of S dollars to guarantee performance of the <br /> obligations hereio,and to guarantee maintenance of the rightof-way described herein for a period of one(I)yenr following completion of the requested <br /> installation.In the event a surety bond is posted,the surety bond�hall be made payable to the City and shall obligate the surety to hold[he City harmless in <br /> the eveot the holder of this permit should fail to meet any oC its otiligations hereunder.TLe bond shall also indemnify the City for all court costs and <br /> reasonable attorneys fees in the event legal nction is required m collect on said bond. <br /> ISUBMITTED BY: <br /> (Permittee)I o/i[�CtG�/��� � ✓'L/L/z O/l( �/ �/V� <br /> Signature&Tille��i"�/�i���� E�YI�,� <br /> ^� cI <br /> Address �C� L' L/N2P S/�-�T 4,�L� �� .���ml <br /> �b3-�15�;'7ya3 cQil <br /> � <br /> � <br /> IAPPROVED BY: <br /> CITY OF ZEPHYRHILLS <br /> Building Ofticial <br /> Date: I <br /> � <br /> Utilities Supervisor I <br /> Date: I <br /> Public Works � I N� 0���tr�uTS��Q�SO� ,�C ,p�STdRBEO �E�S <br /> Date• 9!i-t <br /> .�61����/� <br /> i <br /> City Manager <br /> Date: i <br /> I <br />