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CITY OF ZEPHYRHILLS— BUILDING DEPARTMENT RIGHT-OF-WAY USE PERMIT DATE: 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 operations on any City owned Rights of Way shall furnish a-detailed drawing 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 copy of this permit is to be Kept readily available.at the site of the work at all times. PARCEL iD 11-26-21-0010-15200-0070. I .. CITY ROAD- 9U' Street between 5th Avenue and_611 . . :Avenue LOCATION-(Legal Description): CITY OF'ZEPHYRHILLS PB1 PG 54 LOT 7 LESS WESTi,3.43 FT OF NORTH 24:9 FT THEREOF&LOT 8 LESS NORTH 24.9 FT THEREOF:&LOT-9.LESS EAST 3.0-FT OF NORTH 24.9 FT THEREOF ALL IN BLOCK 152.SUBJECT.TO INGRESS & EGRESS EASEMENT OVER.SOUTH 4.7 FT OF EAST 21.57 FT OF-NORTH 24.9 FT OF LOT 7 BLOCK 152 OR 9016 PG 906. Permission is hereby granted to John Bostic, Utilities Director of the City of ZephVrhills i For the construction and maintenance of Soil`borina for lithology information. Soil boring will be D�erformed by hand auger to 5 A below ground surface. Boring"will.be continued to a depth of approximately 40-50 ft using Direct Push.Drill Rig. Boring will bei plunged.after completion. Subject to the following conditions: j 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 3. : All materials and equipment shall be subject to inspection construction. will be notified at least one day prior to.commencement o � p 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 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 hereunder. It is the responsibility of the permittee to????. 5. All private and all City property 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 Building Official. 7. The sketch.covering the details,of this installation shall ibe 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!coveted 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 safeguard their interests. t3. 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. g. " . Whenever the City-decides to further.exploit the City` Rights of Way, any or all said poles, wires; pipes, cables,.or:,other facilities and appurtenances 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 iany and all damages;claims, or injuries that may occur by reason of the:.construct'ion; maintenance,and operation of said facility. 11. The holder"shall,complete the requested work within 301days or this permit shall become null and void: In the.event the work requested is not - completed upon the eixpiration"date of this permit,the City shall have the right to complete such work and to charge the holder"of the,permit for all costs incurred in completed said work. 12. The bolder shall post a cash or surety bond with the City Manager in-the sum of.$ dollars to-guarantee performance of the 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 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 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 and reasonable attorneys fees in the event legal action is required to collect on said bond. SUBMITTED BY: (PERMITTEE):John Bostic 111, Utilities Director i Signature&Title Address 5335 801 Street, ZeDhvrhills, FL 33542 APPROVED BY: CITY OF ZEPHYRHILLS i Utilities Supervisor Date Public Works Date Building.Dept Date .City Manager w Date. //?i0