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CITY OF ZEPHYRHILLS-BUILDING DEPARTMENT . :DATE: c RIGHT-OF-WAY USE PERMIT PERMIT# No coastroctioq under ground or above ground of any facility shall he accomplished on any City Rights of Way without written approval from the ' City.Building Departm eat.any application.far approval of construction operations on any City owned Rights of Way shall furnish u detailed drawing 'showing thecomplete scope of the proposed work in triplicate to the offce of the Building Official for approval prior to the commencement of any wark,A copy of this permit is to be kept readily available at the site of the work at all times. PARCEL I.D.a 14-26-21-0010-01500-0010-- CITY ROAD- Alleyway -..DATE 17 LOCATION(Legal Description): 4851 6th Street,See attached legal description Permission is hereby granted to Charter.Clirnmunications Iof.::30432 SR-54 WESLEY CHAPEL,FL 33543 : p _ for the construction and maintenance of- " Installation Of new caW conduit&cable within alley right of watbehind 4851 6th Street subject to the following conditions: - rm I::The construction and mnintenance 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 CztyBuilding Official,who will be notified at least one day prior Io 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 ofTruasporiation shall be observed and the City iholl be refievrd Df all responsibility from damage of any nature arising from this permit.Subjecuto the some terms nod conditions,the permit holder.may take such safety - measures,including placing cod display of caution signs,as it may deem necessary in conduit of construction and maintenance work-hereunder.Il u the - responsibility of lbe,permittee to M? - 5. All private and nit City properly shall be restored to its original candition as for as practical in the opinion of the City Building Official. 6.;!All underground crossing installations shall be laid at such.depib as.may he specified by the City:Building•Official. •" " -' 7. The sketch covering the details or this installalian shall be made a part of this permit.This permit is granted with the understanding that the applicant has notified all other utility users in the area covered by the permit and takes Poll responsibility for any damage incurred by.prior.insinflations as o " resull of his operations in order that they may safe guard their interests. S.JI 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 perinil"shag not operate to create or to veal any properly right in said halder.:. 9. Whenever the City decides to further exploit the City.Rights ofWay,any or ill said poles,wires,pipes,cables,or other faalil'ud and - appurtenances nulhorized hereunder,shall be immediately removed"from said Rights of\Nay,ar reset or relocated thereon as required"hy the City Building Official at the expense of the holder of this permit, .IQ.:The bolder shall save and keep the .City harmless from any"and all damages,claims,or injuries that may,occur by reason of the construction.: maintenance,nod operation ofsaidfacility. 11.The holder shnll:complete the requested work within' day or this permit shall became cull and void:In the even)the work requested is not completed upua the expirnThin date of this permit,the sty shall have the right to eoinplele such work and to charge the holder of the permit for all costs incurred in completing said work: d2.:The holder shall posin cash or surety bond with The City.Manager in the sum of S -dollars to guarantee perform-once of the obligations herein,and to guarantee maintenance of the right-of-way described herein far a period of one year fallowing completion of the requested installation.In the event a surety bond is posted,the surety bond shall be made payable to the City acd shall obligate the surety to hold the City harmless in the event the holder of this permit should fail to meet any arils obligations hereunder.The bond shall also indemnify the City for all court costsand .. . reasonable attorneys fees in The event legal action is required to collect on said bond. - -- - .:SUBDIITTED BY: �a Signature&-Title •-- sit da. .. .:.: Address 3 Gt132 - S/1 -S'S/- &Jersle4- 13 = 9i;8-?p3r APPROVED BY: CITY OFZEPHYRHILLS - - Building Official_ Dote: ... :. .. Utilities Supervisor - - - -- - Date: q s • : : :: Public Works !( 9� o " Dal,. _ , City Rionnger .. ... ----- Dole: .. ..