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� - � , /� DATE: t` "G l� CITY OF ZEP��O WAY SE P RMITARTMENT PERMTI'# /� 73� No construction uoder ground or above grouod of any facility s6a11 be acmmplished on any City Rights of Way without writtw approval Gom the City Building Department.Any applicetion 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 olTice of the Building OtTicial for approval prior to We commencement of any work.A copy of this permi[is to be kept rradily available at the site of the work at all times. PARCEL I.D.k 11-26�21-0010-18500-0210 CI1'Y ROAD 6th Street ; nn� 15 LOCATION(Legal Description): I 5124 6th Street,See attached le al descri t�on , 9 P � — I Permission is hereby graoted to BRIGHTHOUSE NETWORKS o� 30432 SR-54 WESLEY CHAPEL,FL 33543 for the construction and maintenance of- Installation of new catv conduit 8�cable within road riqht of wav � _subject to the following conditions: ! 1. The wnstruMion and maintenance of such utility shall not ioterfere with the property and rig6ts of a prior occupanL 2. All work shall be done in keeping with t6e standards of the City Streets Depertment and under the supervision of the City Building ORcial,who will be votified at least one day prior to commencement of wnstruction. 3. All materials and equipment shall be subject to inspection by the City Building Official. � 4. During construction all safety regulations of the Department of Transportation s6a11 be observed and the City shall be reJieved of all responsibility Gom damage of any nature arising from this permiL Subject to the same terms and conditions,the permit holder may take such safety measures,including placing and display of cuution sigos,as it mey deem oecessary in conduct of constructian and maintenance work hereunder.It is the responsibility of the permittee to???? 5. All private and all City fproperly shall be restored to its original conditioo as far as practical in the opinion of the City Building OtTicial. 6. All underground crossing installations shall be laid at such depth as may be specified by the City Building OlTiciel. 7. The sketch covering the details of this installation shall be made a part of this permit.This permit is granted with the understanding t6at the applieant 6as notified ell other utility�users in the area covered by the permit and takes full responsibility for any damage incurred by prior iostellations as a result of his operations in order t6at 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 lhis permit shall not operate to create or to vest any property right in said holder. 9. Whenever the City decides to further eaploit t6e City Rights of Way,any or all said poles,wires,pipes,cables,or other facilities and nppurtenances aulhorized hereunder,shall be immediately removed Gom said Rights of Way,or reset or relocated thereon as required by the City Buildiug ORcial at the eapense of the holder of this permit 10.The holder shall save and keep the City harmless Gom any and all damages,claims,or injuries that mey occur by reason of the construction, maintenance,and operation of said facitity. 11.The holder s6a11 complete the requested work within days or Wis permit shall become oull and void.In t6e eveot the work requested is not completed upon the eapiration date of this permit,the City shall have the right to complete such work and to c6arge the holder of the permit for ull costs incurred in completing said work I 12.The holder shall post a cash or surety bond with the City Msnager in the sum of$ dollars to guarantee performance of the obligations herein,and to guarantee maintenance of lhe right-of-way described herein for a period of one(1)year following completion otthe requested installation.In the event a surety bond is posted,the surety bond shall be made payable to the City and shall obligate the surety to hold the City harmless in the eveut the holder of this permit should fail to meet any oCits obligations hereunder.The bond shatl also indemnify the City for all court costs and reasonable attorneys fees in the event legal action is required to wllect on said bond. SUBMI D BY: (Permiltee) Ie C uJ� �/�"`�V�/`� �/ Signature&Title 1 �/1 C .L,�./� Addres�XJL SCi �� / �'�� / , �� �'/��. �/f�� s'�� I APPROVED BY: CITY OF ZEPfIYRHILLS Building OlTicial Date• Utilities Supervisor Date• Public Works �I na�e: oPFU CtJ� �QE- SCb b/SZRBEO +4QE91�,� City Manager Dalc: