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f � ' � CITY OF ZEPHYRHILLS-BUILDING DEPARTMENT � DATE: RIGHT-OF-WAY USE PERMIT PERMIT# No construction undcr grouod or above ground of any facility shall be accomplished on aoy City Rights oC Way without written approva!Gom the City Building DepartmenL Aoy application for approval of construMion operations on any City owned Rights of Way shall furnish a detailed drawing showing the complete scope oCthe proposed work in triplicate to the of6ce of the Building Official for approval prior to the commencement of aoy work.A topy of this permit is to be kept reed�7y available at the site of the work at all times. PARCELI.D.N 1 1-26-21-001 0-0470 0-0 07 0 CITYROAD ��Avenue DATE 9 O 16 [.ocnr�ox(��n��r�Pnoo): 5849 19th Street,See attached legal description Permission is hercby granted to BRIGHTHOUSE NETWORKS a� 30432 SR-54 WESLEY CHAPEL,FL 33543 for the construction and maintenance of- Replacement of existinq ratv conduit&cable within road ri8ht nfway subjed to the following conditions: I. The construMion and maintenance of such utility shall not interfcre with the praperly and rights of a prior occupanL 2. All work shflll be done in keeping with the sfandards of the City Streets Department and under We supervision of We City Building OfTicial,who will be notified at least one day prior to commencement of construction. 3. All materiels and equipment shall be subject to inspection by the City Building OlTicinl. 4. During wnstrucfion all safety regulalions of the Departrnent oPTrsnsportation sha116e observed and the City s6a11 be relieved of all r�ponsibility from damage of any nature arising from this permiL Subject to the same terms and conditions,the permit holder may take such safety measures,induding placing and display of caution signs,as it may deem necessary in conduM of constructioo and maintenance work hereunder.It is the responsibility of the permittee to???? �, 5. All private and alI City properly shall be restored ro its original condifion as far es praMicel in the opinion of the City Building O�cial. � 6. All underground crossing installations s6a11 be laid at such depth es may be specified by the City Building Official. 7. The sketch covering the details of this instatlation shall be made a part of t6is permit.This permit is granted with the understending t6at the applimnt has notified all other uh7ity users in the ares covered by the permit and takes futl responsibility for any damage ineurred by prior installations aa a r�ult of his opera[ions in order that they may safe gusrd their interesfs. 8. It is ezpressly stipulated that this permit is a license for permissive use only and that the placing of facilities upon public property pursuant to this pumit shall not operate to create or to vest any property rig6t in said holder. 9. W henever the City decides to fuAher exploit the Cily Rights of Way,aoy or all said poles,wires,pip�,ca6les,or other facilities and appurtenances autharized hereunder,shall be immediately removed froro said Rights of Way,or reset or relocated therean as required 6y the City Building OfTicial at the espense of the holder of this permiL 10.T6e holder shall save and keep the City 6armless fram any and sll damagcs,claims,or injuries that may occur by reason of the eonstrudion, maintenance,and operation of said Caeility. 11.The holder shall complete the requested work within days or this permit shall beeame null and void In the event the work requested is not completed upon the espiration date of this permiG the City shall have the right to complete such work and to c6arge the halder of the permit for all costs incurred in completing said work 12.The holder shall post a cash or surety bond with the City Manager in t6e sum of$ dollars to guarantee performance of the obligations herein,and to guaraotee maintenance of the right-of-way described herein for a period oPone(1)yeer following completion of the requested installation.In the event a surety bood is posted,the surety bond s6a11 be made payable to the City and s6a11 obligate the surety to 6old the City harmless iv the eveut the holder of this permit should fail to meet any of its obligations hereunder.The 6ond s6a11 also indemnify the�ty for aIl court cosfs and reasonable attorneys fecs in the evea[legal action is required to collect oo said bond. S 1TED BY: (Permitt lL � L V� Signature&Titl � '�L.L � , lJ�� Address � � �',l,��.1 �� � 6�3-�-�� - �� T 3�s�3 APPROVED BY: CITY OF ZEPHYRHILLS Building Official Dnte• Utilities Supervisor Date• ,—' PublicWorks �T�6 � ��/��JV� �FLLD�S�/�dFJ� A-2E�¢S. Date: City Manager Date•