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� �vr ,�� June 18,2015 CITY OF ZEPHYRffiLLS-BUII,DING DEPARTMENT �� I_/1� o � DATE: RIG�IT-OF-WAY USE PERMTI' PERMIT# � IS G Na mnstruMio¢under ground or above ground of any facility ehall be accomplished on eoy Ctty Rights of Way without wriken approvel firom ttie City Building Departmen4 Any applicatSon tor approval atconstructlon opentions an any City owned Rig6ts af Way ahall fumish a detalled drewiog showing t6e eomplete scape of the proposed wor&in triplicate to the office of thc Building OfOdal for�pprove]prior to t6e rnmmeneement of eny work A copy of this permk Is to be kept readfly available at the sife of the work at all times. PARCeI.1.D.k 11 26 21 0010 05700 0220 CITI'ROnn 12th Avenue DATE LOCATTON(Lcgal Descriptlon): As given on the property appraise�'s web site,ZH MB 1 Pg 541ots 22 23 and 24 Blk 57 � This parcel is located directlV south of the Cazria�e Trade Drv Cleaners on the S E comer of 12th avenue and 7th street Permission is hereby granted to HSW Engineering,Inc. of for the rnnatructlnn and malntenance of- ' 1 deen monitor well 1 challo��monitnr well and�coil hnrin�t The Incafinn nf the uorL;��hown on the attached maps _subject to the followiog co�ditions: 1. The mnrtruction and msintenaoce of sueh udllty ahall not interfere with the property and rights ot a prior oecupan[. 2 All work ehall be done 3n keepiog with the st¢ndards of the City Streets Depar[ment and under the supervision of the City Building OfSdal,who wll]be notified at least one day prior to commencemeat of mnstructloa 3. All materisls and equipment shell be subject W Inspectlon 6y the City Building Officlel. 4. Daring rnnstructlon eU safety regulatiooa of fhe Depariment of Transportallon shall he observed end the City shall be rdieved of all rapomibility from damage of any nature erising from thls permiL Subject to the same[erms and eonditlons,the permlt ho7der may take suc6 safety measures,including placing and display of cauNon signe,as it may deem necessary In conduct of construetion and maSntenanre work hcreunder.It Is the reepansibl0ty of the pernilttee W???? 5. All private and all Cl'ty properly ehall 6e restored to its origlnal condition ec far as prectical in the opinion of the City Bu�ding OfOdaL 6. All underground croasing installaHons ahall 6e laid st such depth as may be apeciLed by the City Building Officitl. 7. The sketch mvering the defails of thla instnlintion shall be made a part of[his permit Thla permtt Is ganted with t6e understanding that the appGeaot haz noti6ed all other utWty users ln Ihe area covered by the pern�it and takes fall responaibilky for any damege Sneurted by prior iostallations as a resalt of his opere4ons in order that they may ea[e guard their Interests. 8. ]t is expressly rtipulefed thnt this permit is a lieeqse for pemtissive use only and that the placing otfaclllties upon publlc property pursuant to thls permit shall not operate ro create or to ves[any property right in sNd holder. 4. Whenever thc City decides to fur[her eaploit the Gtty Righte of Way,any or all seld poles,wlres,plpes,enblea,or other facilitles and appurteomces authori�rd hereunder,ehall be 1mm¢diately removed from seld Rig6ts of Way,or rese[or rdooated thereon as requlred by the City Bailding Offlctsl at the expeuse of the holder of this permiL 10.The 6older e6aLL save and kecp the Ctty harmless trom eny and aIl damagw,claims,or injuries thet may occur by renson of the anstruction, malntenaneq and operatlon oCsald facility. tl.The holder s6a1!eomplete tAe requested work withln 30 dayc or this permit s6ell bernme null end void In the eveat t6e work requested Is not completed upon the e:piration date otthSs permit,the Cfty shall have the dght ta complete such work and to charge the holder of the permit for all costs incurred In compledng setd work 72.The holder shall post a cash$0.00 or surety bond with[he City Manager in the sum of S dollars W guaren[ee p¢rformance of the o66gations herciq und W gaarantee maintenance of the rightof-way described herdn for e perind of ooe(1)year following rnmpletion of the requested Instellet(on,ln the event a surety bond is posted,the surety bond shall De made payable to the City and shall obGgate t6e sore[y to hold the City harmless in the event the holder of this perntit ahould fail io meet any of fts obllgetlons hereunder.The bond shall also iodemnSfy the City for all court costs and reasonable attorneys fces in t4e evea[legal acflon 3s requlced to colleet on satd bond. SUBMI7TED BY: (Perm�ttce) HSW E ' eeri �Inc. Signature&Title � K V[G.� /Uis�A¢,n,� , „ r Address 1571 I Mapledale Blvd,#B,Tampa,Florida 33624 , .� APPROYED BY: CI'IY OF ZEPHYRHILLS � q BuildingOffieial^� �✓'/ 6� Datc Utilities Supervis r Date: PubGc Worfcs Date: City Manager �� . �--� � Date: 7