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CITY OF ZEPHYRHILLS=BUILDING DEPARTIVIENT 'RIGWQF WAY.USE PERMIT060 ] DATE: a PERMIT#: v -- - --- No constri+ction'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 shoWng the complete scope of the proposed work in tripticate_to the office of the Building Official for approval prior to the commencement of any work: A copy of..this permit is tc be kept readily avaifable at the site of the work at:all times. d PARCEL ID#: ltl ' 4��.b � OC "0.4tC CITY ROAD. ttveY%Q ko LOCATION (Legal Description): N.W t A,r E.r. 1", Permission is hereby.granted to' r<tr� of ce C e For the construction and maintenance of: L ""C -1" "OF, dvc . t, XJL r �o w,►,}� tilts rna;mil. .- ti2a' C(?�:t C �+�� 04 Subjecf o-the following conditions: T� 1. The constructionand makenance.of such.utility shall not interferemith the property and rights of a prior occupant. 2. All work shalt be done in keeping with the standards of the City Streets Department and under the supervision of the City Building Official,who, 11 be notified;at least one day prior to commencement of.construction. 3. All materials-and equipment shall be subject to irispbetionby the City Building-caffictal., 4. During coristroction all safety`regutations of the Department of Transportation shall be observed and the City shall be:relieyed of all•responsibility from damage of any nature arising from this permit. Subject to the tame terms and conditions,the permit holder may take such safety measures, including placing and display of caution signs,as ft may deem necessary in conduct of construction and maintenance work hereunder.: It is the responsibility of the pemiittee to???? 5. AU private and at1:City proper[y.shall be restored to.its original condition. 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 installationshalt 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 full responsibility for.-any damage incurred b} prior installations as a result of his operations in order that they maysafe guard their interests. 8.. it is eiipressiy 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. 9. Whenever the City decides to further exploit the City Rights of-Way;any or 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 any and all damages,claims, or injuries that may occur by reason of the construction, maintenance,and operation of said facility. 11. The holder shall.complete the,requested work within days or this,permit.shall become null and void. in the event the.work requested is not completed upon the expiration elate of this permit,the City shall.have the right to compiate such work and*_to charge the holder of the permit for all costs incurred,in completed said work. : - 12. The holder 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(9)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. S06MITTED BY: (PERMITTEE) Signature&Title Address x6v ' Gv� APPROVED BY. CITY OF ZEPHYRHILLS Utilities Supervisor Date Public Works Date v2_M AY2�."A1 04m cui F-Sob 44_x.0r.S"T��ep eplfS Building Dept Date City Manager Date �^"af cvveS V_L)r ffcksQ {? rv, CL k,t) no Mt