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� a <br /> CITY OF ZEPHYRHILLS-BUILDING DEPARTMENT <br /> DATE:02-12-2019 RIGHT-OF-WAY USE PERMIT PERMIT# <br /> No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way withoat written approval from the <br /> City Building Department Any application for approval of construction operations on any City owned Rights of Way shall furnish a detailed drawing <br /> 1 showing the complete scope of the proposed work in triplicate to the office of the Building Official for approval prior to the commencement of any work.A <br /> A t� copy of this permit is to be kept readily available at the site of the work at all times. <br /> �v I <br /> PARCEL I.D.8 26110010134000010 CITY ROAD 6th Avenue DATE 03-18-2019 <br /> LOCATION(Legal Description):North ROW of 6th Avenue adjacent to southwest boundary of City Hall property. See attached figure for exact location. <br /> Permission is hereby granted to The Site Investigation Section of The Florida Department of Environmental Protection for the construction and maintenance of- <br /> Three monitor wells(shallow,intermediate and deep).Monitor wells will be installed in a flush mounted 2'x 2'concrete pad with a 6 inch bolted on manhole cover. <br /> Prior to construction underground utilities will be located by Florida One Call and a private utility locating service.Monitor wells will be sited at to prevent any <br /> obstructions to traffic or pedestrians.Traffic control will be implemented during monitor well installation to protect pedestrians and traffic. <br /> subject to the following conditions: <br /> 1. The construction and maintenance of such utility shall not interfere with the property and rights of a prior occupant <br /> 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 <br /> will be notified at least one day prior to commencement of construction. <br /> 3. Ali materials and equipment shall be subject to inspection by the City Building Official. <br /> 4. During construction all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of of <br /> responsibility from damage of any nature arising from this permit Subject to the same terms and conditions,the permit holder may take such safety <br /> measures,including placing and display of caution signs,as it may deem necessary in conduct of construction and maintenance work hereunder.It is the <br /> responsibility of the permittee to???? <br /> 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. <br /> 6. All underground crossing installations shall be laid at such depth as may be specified by the City Building Official. <br /> 7. The sketch covering the details of this installation shall be made apart of this permit This permit is granted with the understanding that the <br /> applicant has notified of other utility users in the area covered by the permit and takes full responsibility for any damage incurred by prior installations as a <br /> result of his operations in order that they may safe guard their interests. <br /> 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 <br /> this permit shall not operate to create or to vest any property right in said holder. <br /> 9. Whenever the City decides to further exploit the City Rights of Way,any or of said poles,wires,pipes,cables,or other facilities and <br /> appurtenances authorized hereunder,shall be Immediately removed from said Rights of Way,or reset or relocated thereon as required by the City Building <br /> Official at the expense of the holder of this permit <br /> 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 construction, <br /> maintenance,and operation of said facility. <br /> 11.The holder shall complete the requested work within 90 days or this permit shall become null and void.In the event the work <br /> requested Is not completed upon the expiration date of this permit,the City shall have the right to complete such work and to charge the holder of the permit <br /> for all costs incurred in completing said work. <br /> 12.The holder shall post a cash or surety bond with the City Manager in the sum of$ dollars to guarantee performance of the <br /> obligations herein,and to guarantee maintenance of the right-of-way described herein for a period of one(1)year following completion of the requested <br /> installation.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 <br /> the event the holder of this permit should fail to meet any of its obligations hereund�r.The bond shall also indemnify the City for an court costs and" <br /> reasonable attorneys fees in the event legal action is required to collect on said bond.\ <br /> SUBMITTED BY: <br /> (Permittee)FDEP y�Signature&Title CJ� Y�i""� P.G. <br /> Address 2600 Blair-stone d,Tall rassee,FL 32399 <br /> Phone 850 245 8955 <br /> APPROVED BY: <br /> CITY OF ZEPHYRHILLS <br /> Building Olffiri ell <br /> Date: / <br /> Utilities Supe rsor L <br /> Date: !` I <br /> Public Works <br /> Date: <br /> i <br /> City Manager <br /> Date: <br />