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, , . . 7 CITY OF ZEPHYRHILLS-BUILDING DEPARTMENT DATE: ��J� RIGHT-OF-WAY USE PERMIT PERMIT# No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the City Building Department Any application for approval of construction operaHons an any City owned Rights of Way shall fumish a detailed drawing showing t6e complete scope of the proposed work in triplicate to the office of the Building Of'ficial for approval prior to the commencement of any work.A c�opy of this permit is to be kept readily available at the site of the work at all times. PARCEL I.D.# 35-25-21-0010-10300-0010 CTTY ROAD Dairy Road DATE 16 iOCATION(Legal Description): '72�5 D81f)/R08d, See attached legal description � � Permission is hereby granted to BRIGHTHOUSE NETWORKS of 30432 SR-54 WESLEY CHAPEL, FL 33543 or the construction and maintenance of- Installation of ne catv conduit&cable within road riqht of wav I I subject to the following condiHons: 1. The construction and maintenance of such utility shall not interfere with the property and rights of a prior occupant 2. All work shall be done in keeping with the standards of the City Streets Department and under the supervision of the City Building Official,who ill be notified at least one day prior to commencement of construction. 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 shall be observed and the City shall be relieved of all �sponsibility from damage of any nature arising from this permiL Subject to the same terms and conditions,the pern►it holder may take such safety easures,including placing and display of caution signs,as it may deem necessary in conduct of construction and maintenance work hereunder. It is the esponsibility of the permittee to???? 5. All private and all City properly shall be restored to its original condition as far as practical in the opinion of the City Building O1'ticiaL 6. All underground crossing installations shall be laid at such depth as may be specified by the City Building Official. 7. The sketch covering the details of this installation shall be made a part of this permit.This permit is granted with the understauding that the pplicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage incurred by prior installations as a � esult of his operarions iu order that 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 this permit shall not operate to create or to vest any property right in said holder. 9. Whenever the City decides to further exploit the City Rights of Way,any or all said poles,wires,pipes,cables,or other faciliHes and ppurtenances authorized hereunder,shall be immediately removed from said Rights of Way,or reset or relocated thereon as required by the City Building Official at the expense of the holder of this permit. 10. The holder shall save and keep the City harmless from any and all damages,claims,or injuries that may occur by reason of the construcNon, aintenance,and operation of said facility. 11. The holder shall complete the requested work within days or this permit shall become null and void.In the event the work equested is not completed upon the expiration date of this permit,the City shall have the right to complete such work and ta charge the holder of the permit �or all wsts incurred in completing said work 12. The holder shall post a cash or surety bond with the City Manager in the sum of$ dollars to guarantee performance of the iobl�gations herein,and to guarantee maintenance of the right-of-way described herein for a period of one(1)year following completion of the requested �nstallation.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 event the holder of this permit should fail to meet any of its obligations hereunder.The bond shall also indemnify the City for all court costs aud easonable attomeys fees in the event legal action is required to collect on said bond. SUBMITTED BY: (Permittee) � �r2_ / � Signature&Title ��/�/ C v�.c /:t-��J^ Address .3O y,3oZ ,S�✓` `� , (it'.�S�zy l�/-'✓7 33�s y� ��3 �.s:5 5-8'y:�.s— � . APPROVED BY: CTTY OF ZEPHYRHILLS Building Official Date• J - Utilities Supervisor Date: ublic Works 26 sEP i6 � - E ovrs - REsa� �c� A�ST��t6E'D �e��s� Date• City Manager Date: