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, � � , DATE:�' Z 'r� CITY OF ZERIGHT-OF-WAY USE P RMIT RTMENT pERMIT#�'�� I � No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the I City Building DepartmenL Any application for approval of conshaMion operations on any City owned Rights of Way shall furnish a detailed drawing � showing the complete scope of t6e proposed work in triplimte to the o0ice of lhe Buildiog Official for approval prior to the commeneement of any work.A copy of this permit is to be kept readily available at lhe site of the work at all times. � PARCEL I.D.H 12-226-21-0280-00000-0510 CITY ROAD King Street DATE 16 LOCATION(Legal D�cription): 5318 KI�9 StfeeY,See attached legal description Permiuion is hereby granted to BRIGHTHOUSE NETWORKS o� 30432 SR-54 WESLEY CHAPEL,FL 33543 II for the tonstrdcGon and maintenance of- ' Installation of new catv conduit&cable within road riqht of way subjeet to the following conditions: 1. The construction and maintenance of such utility shall not interfere with the property and righ4 of a prior occupanL 2. All work shall be done in keeping with the standards of the City Streets Department and onder t6e supervision of the City Buildiog OlTieial,who will be notified at least one day prior to commencement of construction. 3. All materials and equipment shall 6e subject to inspettion by the City Building Ofticial. lrnetion-a1F�AfetTregnlationaoft 'it3'shal responsibility from damage of any nature arising from this pe�mit Subject to the same terms and conditions,the permit holder may take such safety measures,ineluding placing and display of caution signs,as it may deem necessary iv conduct of construMion and maintenante work hereunder.It is the rctponsibility oftAepermitteeto???? 5. All private and all City properly shall be restored to its originnl condition as far as practical in the opinion of the City BoOding ORcial. 6. All underground crossing installations shall be laid at such depth aa may be specified by the City Building Otficial. 7. TAe sketch covering the details of this installation s6a11 be mnde a part of this permit This pumit is granted with the understanding that the applicant has notified all other utility users in the area covered by the permit and takec full responsibility for any damage incurred by prior installaGoos as a � result of his operations in order that they may safe guard their ioterests. 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 creatc or to vest any property right in said holder. i 9. Whenever the City decid�to further e:ploit the City Rights of Way,any or all said pol�,wirg,pipes,cables,or ot6er facilitirs and i I appurtenanc�authorized hereunder,s6all be immediately removed from said Rig6ts of Way,or reset or relocated thereon as required by the City Building i Oflicial at the expensc of the holder of this permiL � 10.The holder sha11 save and keep the City harmless from any and all damages,claims,or injuri�that may occur 6y reason of the construMion, � maintenance,and operation of said facility. 11.The holder shall complete the requested work witAin days or t6is permit shall become null and void.In the event lhe work requested is not completed upon the ezpiraGon date of this permiG the City shall have the right to complete such work and ro charge the holder of the permit ' I for all costs inwrred in completing said work. , i 12.The holder shell post a cash or surety bond with the City Manager in the sum of$ dollars to guaran[ee pertormance of the obligations herein,and to guarantee maintenance of thc right-of-way described herein for a period of one(1)year following eompletion of the requested installation.ln the event a surety bond is posted,the surety bood sha116e made payable to the City and shall obligate the surety to hold the City harmless in � the event the holdcr of this permit should fail to meet any of its ob�igations hereunder.The bond shall also indemoify the City for all caurt cosfs and � reasonable attorneys fees in the event Iegal action is required to callect on said bond. /n/// S BM[TTED BY: (Permittee) �-// ` �"�� Signahre&TiOe , � �n Address�� -1 I� J 7" � .t7/�� 1��,� 3 3��z � ��3� ��y os�� ,�� � � APPROVED BY: . I , i � C[TY OF ZEPHYRHILLS I Building Ofiicial Date• Utilities Supervisor Date• ' Public Works /� �� rr�7/ n ^ �`�/ ^�� Date: OPC'/1�e.Vr+ / �F.t�� 4�ST�K��J �/�Gi�►� � City Manager Date• �__ �