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r ` CITY OF ZEPHYRHILLS-BUILDING DEPARTMENT <br /> ` DATE: //6 RIGHT-OF-WAY USE PERMIT PERMIT# /: J <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 <br /> City Building Department.Any application for approval of construction operations on any City owned Rights of Way shall furnish a detailed drawing <br /> 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 /> copy of this permit is to be kept readily available at the site of the work at all times. <br /> PARCEL I.D.0 11-26-21-0010-16100-000 CITY ROAD 5th Avenue <br /> DATE /20 <br /> LOCATION(Legal Description): 38116 5th Avenue,See attached legal description <br /> Permission is hereby granted to Spectrum Sunshine State LLC of 30432 SR-54 WESLEY CHAPEL,FL 33543 <br /> for the construction and maintenance of- <br /> Installation(2)road bores crossing 3rd&4th Street to feed 38116 5th Avenue <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 <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 permiltee 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 maybe 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 all 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 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 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 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 hereunder.The bond shall also indemnify the City for all court costs and <br /> reasonable attorneys fees in the event legal action is required to collect on said bond. - <br /> SUBMITTED BY: <br /> A d� /l� o <br /> (Permittee) N0 N l x 'A, e y <br /> t ,33� r Cov ira , a a�f <br /> Signature&T//i��tl�UeJ a a V`$ �j V �rv�e p r �q i ��{�j <br /> Address Sit l J Z J� mN `�'q �`J P1 1. C��\�Q�) �1� ✓`i`-' <br /> �7 <br /> 21 - P3 $63'7 <br /> APPROVED BY: <br /> CITY OF ZEPHYRHILLS <br /> Building Official <br /> Date.• <br /> Utilities Supervisor <br /> Date: <br /> Public Works <br /> Date: <br /> City Manager <br /> Date: <br />