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i , .., _ j ��,1/ CITY OF ZEPkIYRHiLLS-BUCLDING DGPARTMENT — r•1,�.-� /,� AATG: t�� RIGIIT-OF WAY USE PET2MIT PERMIT# ,� l t_�C ; i � . I ( No construetian under graund or a6ove ground of any facitity shaU be accomplishpi on any City Rights oi Way withaut written approvai from the j City Buitding Depnrtment.Any appticalion for approvat otconsMuction operations on any City owned Righis of Way shall i'urnisfi a detaited drnwing showing the complete scope of the proposed work in triplicete lo Ihe olTice of lhe Building Olficial far npprovel prior to Ihe commencement of eny work A copy of fhis permit is ta be kept rcadily available at the site of the work al all times. PARCELI.D.N a2-26-2�-o�sa-aoaaa-o�za CITYROAD 18fhAvenue LOCATION(LegnlDescriplion): $$94S"ISfII AV@t1U8,See attached legal description Permissian is hereby grented to BRIGHTHOUSE NETWORKS o� 30432 SR-54 WESLEY CHAPEL,FL 33543 for the canstrucliop flnd mainlenance of- Reptacemertt of ex+sting rafv onduit&rahlP within rnad ri f nf wa� � subject lo the following conditions: i. The constrnciion ai�d maintennnee of sach utility sha�3 not i�rterEere tivith the property and rights of e prior occupant I 2. Atl wark shall be done in keeping wilh the standards of lhe G1ty Streets Depertment and under thc supervision of the City Building OIDciel,who wil!be notifed at least ane day prior to commencement uf conslruclion. 3. All materials nnd equipment shnll 6e subject to inspection by the City Building Officiai. 4. During construelion afl safety regutalions of the Depnrtmpnt of Trsnsportnlian shull be observed and the City shall be relieved of nll I responsibility from damage af any nature arisiag from this permit.Subject fo the same terms and conditions,thc permit hoSder may take sach safety measures,including pincing nnd display of caution signs,as it may decm necessary in conduct of construction and maintenance work hereunder.Il is the responsibility of Ihc permittea to???? 5. AII private and alI Ciiy properly shati be restored ta iis originai candition as fAr as praciical in 16e opinian otthe City Building OfRcial. 6. All underground crossin�inslalletians shell be laid et such deplh es may be specified by ihe City Suilding Official. 7. The sketch covering the deinils of ihis 2nstatletian shall be made a part of ihis permii.TGis permit is granied with ihe unJerstanding fhat the applicflnt has notiGed all otNer utitity users in lhe area mvered by lhe permit and lakes full responsibUity for any damage incurred by prior installations as a result of his operptions in order thet they mey safe guerd iheir intcrrsts. & ti is ezpressty stipuiated that ihis parmii is a license t'or permissive use onty aod thet the placing offaciGties�pon pubiic property pursuant to this permit shnll not operetc la create or to vest nny property right in snid holdcr. � 9. W6enever the City decides!o further ezploit the City Rights af Way,any ar alt s»id paies,wires,pipcs,cabtes,or ather fncititi�and eppurtenences aulhorized hereunder,sha116e immediateiy removed Prom seid Rights of Wny,or reset or reiocated lhereon as reqnirc3 by the City Building Officinl nt the expense of the holder of this permiR i 14.The holder sha1S save and kecp the City hxrmless from nny and alI dnmsges,cteims,or iajuries fhat may ocear 6y reason at'the canstrudion, maintennnce,and operation of seid facility. i i.The hotder s6aii compicte the requested work within days nr this permit shafl become null end vaid.In the event!he work requccted is nut comp�eted upon tbe espiratian dpte of this permit,the Cify shaii tiave t6e right to wmptete such work aod to charge ihe hnlder of ihe permit for all cosls incurred in completing said work T2.The Isolder sfiall post n cash or surety bond with(he City Manager in the snm of$ dollars to guaraptee perfurmance of ihe obligntions h¢rein,and to guaraatee maintenance pf the righRof-wey described herein i'or a period of ane{I}year fo][mri»g comgtetion of the requested instellelion.In the event a surety bond is posted,t6a surcty bond shall be made pnyable to tha City and shall o6ligate the surety ro hold tNe City hnrmlcss ia Iha event the holder of this permit should feil to meet any of its obligelians hereuuder.The bond shall also indemnify the Cily for nit courl cosu and reasonable attorneys fecs'sa the eveut legal ndion is reqvired to cotteek on said bond. SU ITTED BY: (Permiltce) / _!'W�A`�J�� -��-� Signatare&Ti e �?�..�P l9�f l uC.f..-y� Addres �G.� JCL) �� L�� � ( � � �? � � -o� ApPROVED BY: CSTY OR ZEPHYItHILLS Buiid'eng d�ce�I IOnte � Utifitics Supervisor Datet IPublicWorks sE�r6 '` , nac�: ,,,vo oP�u evrS'— �Q�'sQ��L xslS7UetQQ �"t•CEql r City Mnnager Date� I