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4149036 CITY OF ZEPHYRI�ILLS-BUILDING DEPARTMENT DA'I'E: �� RIGHT-OF-WAY USE PERMIT PERMIT# No construction undcr ground or aboue ground of any facility shall be accomplished on any City Righks of Way without written approval from the City Building Departrnent.Any application for approvat of construction operations on any City owned Rights of Way shall furnish a detailed drawing showing the complete scope of the propased work in triplicate to the office of the Building Official for approval prior to the commencement of any work A cogy of this permit is to 6e keQt readity available at the site of the work at all tunss. PARCEL I.n.# 35-25-21-0010-08500-0020 CXTY ROAD Dairy Road DATE LQCATION(Legai Descrip4ion): - 1-2" bore from the west side of Dairy Raad to the east side 10' south of 7050 Dairy Road. Permissionisherebygrantedto FRONTIER ot 120 E LIME STREET, LAKELAND, FL 338Q1 forthecanstructionandmaintenanceof- .�_ 2« gQRE AND 24"X36" HANDHQ�E OVER AN EXIST[NG CONDUIT _subject to the foliowing conditions: 1. The construction and maintenance of such utiGty shall not interfere with the property and rights of a prior occupant. 2. All work shat[be done in[ceeping with the standards of the City Streets Department and under the supervision of the City$uilding dfficial,who will be notified at least ane day prior to commencement of construction. 3. All materials and equipment shall be subject to inspection by the City Building Official. 4. During coustruction aIl safety regulations of the Department of Transpnrtation shall'he abserved and the City shali be relieved af aII responsibility from damage of any nature arising from this permit.Subject to the same terms and conditions,the permit holder may take such safety measures,including placing and display of caution signs,as it may deem necessary in conduct of construction and maintenance work hereander. It is the respansibility of the permittee to???? 5. All private and all City properly shall be restored to its original condition as far as practical in the opinion of the City Building Official. 6. All underground crossing installations shall be laid at such depth as may be specified by the City$uilding Qificial. 7. The sketch covering the details of this instalIation shatl be made a part af this permit,This permit is granted with the understanding that the appGcant has notiFed all other utility users in the area cavered by the permit and takes full responsibility for any damage incurred by prior installations as a result of his operations in order that they may safe guard their interesks. S. It is expressly stipulated that this permit is a ticense for permissive use only and that the placing of facilities apon pablic 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 explait the City Rights of Way,any or all said poles,wires,pipes,cables,or other facilities and appurtenances authorized hereunder,shall be immediakely removed from said Righks of Way,or reset or relocated thereon as required by the City Building Offccia2 at the expense of the holder of this permi#. 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 wnstruction, maintenance,and operation of said facility. 11. The holder shall complete the requested work within �� days or this perm'rk shall become null and void.In the event the work requested is not comgIeted upan fhe expiration date of this permit,the City shail have the right to complete such work and to charge the holder of the permit for aq costs incurred in completing said work. I2. The hoider shall post a cash ar surety 6ond with fhe City Manager in the sum of$ dollars to guarantee performance of the obligakions hercin,and to guarantee maintenance of the right-of-way deseribed hecein for a period of one(1)year following completion of tt►e requested installation.In the event a surety bond is posted,the surety bond shall be made payable ta the City and shall obligate the surety to hold the City Hartntess in the event fhe flolder of this permit shautd fail to meet any of its obfigatians hereander.The bond shaII atso indemnify the City for ali courk costs and reasonable attorneys fees in the event legal action is required to collect on said band. SY7BMITTED BY: (Permittee)��1��.�^ " V 'ZD Vl'f`.�2 2. Signatare&Titte�^'��..�7�`��'"t G.�� 1"1 d_. Address f Z�% L. • L1�. 5�� p � � �/L��..Gi111� �C�'G 3) � �'o P �-�a`� APPROVED BY: CITY C1F ZEPFIYRHILLS I