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C <br /> CITY OF ZEPHYRHILLS— BUILDING DEPARTMENT <br /> RIGHT-OF-WAY USE PERMIT <br /> DATE: PERMIT#: <br /> 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 <br /> Department. Any application for approval of construction operations on any City owned Rights.of.Way shall furnish a detailed drawing showing the.complete <br /> 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 <br /> kept readily available at the site of the work at all times. <br /> PARCEL ID 0 11-26-21-0010=15500-0070 CITY ROAD NE Corner of 5th Ave and 5ih Street <br /> -LOCATION (Legal Description): <br /> CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 7 THRU 18 IiNCL BLOCK 155 OR 4724 PG 1889. <br /> Permission is.hereby granted to John Bostic, Utilities Director of the City of Zephvrhills <br /> For the construction and maintenance of: <br /> Monitoring well for environmental sampling. Soil boring will be performed by hand auger to 5 ft below -ground surface. A flush <br /> mount monitor well will be installed to a depth of approximately 40-50 ft for water quality sampling and monitorim <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.. All 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 all responsibility <br /> from damage of any nature arising from this permit. Subject to the same terms and conditions,the permit holder may take such safety measures, <br /> 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 property 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 a part of this permit. This permit is granted with the understanding that the <br /> applicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage incurred by prior <br /> installations as a 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 this <br /> 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 all 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 <br /> City Building 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 30 days or this permit shall become null and void. In the event the work requested is not <br /> 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 for all <br /> costs incurred in completed 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 <br /> 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 <br /> 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 <br /> the City for all court costs and reasonable attorneys fees in the event legal action is required to collect on said bond. <br /> SUBMITTED BY: <br /> (PERMITTEE) John Bostic III, Utilities Director <br /> Signature&Title <br /> Address 5335 8th Street, Zephvrhills, FL 33542 <br /> APPROVED BY: <br /> CITY OF ZEPHYRHILLS <br /> Utilities Supervisor Date <br /> Public Works Date <br /> Building Dept Date <br /> City Manager A<Z Date �} �/ &0 <br />