|
<br />.-----..,
<br />
<br />,-'
<br />
<br />,;
<br />
<br />.'
<br />
<br />RIGHT-OF-WAY USE PERMIT'
<br />PASCO COUNTY
<br />
<br />l \----l L---tL
<br />
<br />'"
<br />
<br />- USE PERMIT-
<br />
<br />MAIL TO:
<br />PASCO COUNTY
<br />DEVELOPMENT REVIEW DIVISION
<br />7432 L1TILE ROAD
<br />NEW PORT RICHEY, FL 34654
<br />
<br />(813) &47-8142
<br />(904) 521-4274
<br />
<br />GENERAL INSTRUCTIONS
<br />
<br />No conatrucllon. und8r grouncl or above ground, 01 ..yfaclllty, ahaM be aooomplllShed on InY County Rlghla 01 Way wIIhouI wrtnan 8PPf0Vlll fnlm ..
<br />County. MYappllcallon for approvlll 01 a>>oalrUCllon operallona on 811'1 County owned R1gh.. 01 Wayllhalllurnlah a delalled drawing ahowlng !he 0llmpIete
<br />IICOp8 or !he propoeed work In quadrupllcaa II) the County lor rwklw 8I1d approvlll prior 10 !he comn18OC8m8n1 01 811'1 work. A OOPr 01 ..... penna, nIUe'
<br />be Up' rMdIlY.v.l...... .. .... .... 01.... WOItl .t .U Urn...
<br />Sec. No. 35 T 25 R 21 County Road 16th Street Date 01/26/93
<br />Reorganized Church of Jesus Christ of the Latter Day Saints
<br />Perm.. For: _
<br />(Projecl Name)
<br />
<br />LOCATION (legal Delcripllon): N '1/2 of tract 82 in Section 25, Twlmal1p 25, Rge 21 ~. Pasco County
<br />
<br />Florida
<br />
<br />8ppro~ima~ely '679' south of Pretty Pond Road on 16th Street (eaat side of road)
<br />
<br />/,
<br />
<br />Permiuionisherebygrantedto Rt'loroganized Church of Jesus Christ of the Latter Day Saints
<br />(Name 0' Pormmoo)
<br />
<br />of 3712 16th St. N. Zephyrh111s, Fla'~' 33540 forthec:onstruction8l1dmaintenanceof
<br />(Addros$ of Permittee). , " . ,
<br />Paving an exitlting driveway in theR/W of 16th Street
<br />(Uescrlphon 01 WOrk)
<br />
<br />,~ub~~ ~""Q.J9V Vlin ~or.adili~ns:
<br />" .,", .', i".."".,(4!"~" '''111 '"e;., ,.~""i"''''!Ii.'''''''''i.;:'~''''''.''',,.'''' ~ ' ,
<br />> ,., ',.:-,,-,,' ;'~'':;l' ' .. '.'9 '. ~, ,'. ,.9. 2rJ.~..~.~, :~,hlS of.a prior occupant
<br />~:;,\... "i('~{.J\''':' ~ .'... ~ , ,. . . ~., "I, ",,~ ! ", .
<br />" ' .',", '';':f~''~O~~ ,~n~~,\'m~'()'~""'.i,.",:, ~,"':~~"fl*flOlP~:~,,~wIIl:__nollllecl.""_
<br />
<br />3. ~ ma.~ ~ ,lIClUlfl"ltP' ~11lI ~eot 10 Ina~ by P~,Cgunty. ,
<br />
<br />... '. During conalruc:tiop .11 ....ty ntgulalion. of the Florida Departmeni 01 TranlpQ(lalion lhall be observed; and Puco County .haII be relieved 01
<br />aU responlibiUty from damage 01 .ny ..'ure lliaing from !hI, parmlt. SubjecllO .he lame lerml and condilionl, !he permit holder may.... such salely
<br />m..surel"in(;llIdin~ p1~iny 8I1d difpllty ol,caution '",nl, al il maY40em ~Cle8S111Y l!l condUCI 01 construction and maintenance WOIil hereunder.
<br />
<br />G. All prlvatelWld 11II PMOO County property a"-ll be reetored 10 I.. original condlllon u lar u practical. In the opinion 01 PMCO County.
<br />
<br />8. All underground aOMIng lnalllllllltona thai be ~ al auch depth _ m.)' be apecllled by P,-co County. unI... olherwlae aulhorlzed. ........1Ion
<br />01 UUI.... ....... County r'*'. ...... be II)' ~ and boring on.y. . " , '
<br />
<br />7. The Iketch (lour COpiel) covering the deteU, 01 lhil inltallalion shall be made a part of their permit. Thil permitla gr8l1'" with the understanding
<br />!halthe applicant hu nolilied all o!h... utilily Ulerl in the .rea oovered by the pe.mil and te"l full relponlibUity lor any damagelncumtd by prior inllallationl
<br />a. · relult 01 his oper.tionl, He .'10 lakes lull relponslbility lor nolifying .ny and all utility or underground userl 01 hil pl'Oposed oper.1iona in order thai
<br />they may ..Ie guard lheir InlB,."I. i..-_.' .
<br />
<br />8. II il ellpr&1I1y Ilipulal8d lhallhis permit II a license for permiSlive use only 8I1d !hatlhe placing of lacilities upon public proporty purauan.1O !his
<br />parmil shall no. operate 10 aeate or 10 veil any property right in laid holder.
<br />
<br />r'"
<br />G. WhenewIr PMCO County dead.. II) Iur1her explolllhe County Rlghla of Way, 811)" or all oIaald poles. wire., pipe.. cabIea or other IacllIIlee and
<br />IIflIJUf'tntlllOee aulhortad h8reuncter,1hal1 be ImrilfIdlately .emoved '.om lald Rlgh" 01 Way. or rese. or reloc:al8d /hereon.. reqUIred by PUQ) County
<br />at the e.penN of lIle holder ollhll permlL
<br />
<br />, ,
<br />10, The holder Ih"~ salle .~ keep. Pasco Counly harmless from any and aU dam..., c:laiml. or Injuri.. thai may ClCaIr bY_Ion 01 !he oonllruclion.
<br />malntenance, and operahCln of ..id laclllty, * " ,
<br />
<br />11. The holder lhaII complete !he requested work within 30160/90(180 days or this permit shal become nuU and void. In the evenllhe work .equested
<br />II not COl'llpleled upon the expiralion date 01 lhil permil. Pasco County Ihall have the right to comp 18 such work and to charge the holder 01 the permit
<br />10. e. 00111 incurred if! completing said wQrk. , I
<br />
<br />12. The perml.... ahaIl po" a cash or a..eIy performance guaran... wI!h1he ~ty Clerk. Baaed on a ClOIleaUmate prepared by Ihe permt.....
<br />engIneer andllPflrOVed by !he County. The ~ount 01 !he guar8l1l8e Is 10 be an amounl aquarlO 125% 01 ~ ClOItlo COIl8trUCIthe permllt8d Improvemenla.
<br />In the wenl a lUtety bond .. poaled, !he aald lUIety bond ahall be made payable 10 Puoo County and ~haII obligate Ihe surety 10 hold !he County halmleea
<br />In the went the hold... ollhla permllahou/d f." II) meel8l1Y 01 I.. obllga~. heleunder. The bond 'haf al80'lndemnlly Pasco CountY tor all court 00'" and
<br />rea&OnabIe allom8)'8 ....In the went legal don lis required 10 QQIIeQ on lIald bone" .)
<br />
<br />13. The permlaee ,hall posta cuh or awety maln.....nce gur.n... wIth the County Clerk based on a ClOIt,-.lImate prepared by !he perml......
<br />engineer and approved by the County. The amount ollhe guar8l118e I. 10 be III amovnt equal 10 16% ollhe OOSIIO OOll6lrUCIlhe permlll8d Improvomenl&.
<br />In ale event a surety bond II posted II &hall meet all the crI~a llated In No. 12 above.
<br />
<br />14 SPECIAL CONDITIONS:
<br />
<br />/'
<br />
<br />i .] r; :.: ..I.;.r~!'::'-i" .!'It..: ~,"~~':~:l/J" :";,~t;:!"'!i
<br />
<br />" ;
<br />
<br />,'j:'o:::,'i',
<br />
<br />..: . > "'..~ :", 'f'</,'~' ,1:,': .;,' . t
<br />"". ' ", .
<br />
<br />-"-~-:1'-' ..:':" "1
<br />
<br />~',
<br />.1t.!.J
<br />
<br />, ";i"'" ,fr
<br />
<br />;; ~~,,0'. ..,.' : ;,u~';,4~"o'aY, '~:-'l-n~- '"
<br />
<br />Z-. 1 Ja3 .. ..' ,.Jr'., \":' .'. . ' , '\ .... . Signalure
<br />-'~/,.. "'.1{,1..' ;"~'.'''''' ":"~>,~ ',\
<br />/' ' 'lit;'~:!.s~#~~':'M'~" Ro~~~_B ',,:;'Projec( Etig1neer
<br />· ,> , , ,~. Print Name and Tille
<br />
<br />/' )
<br />'7'..'.'
<br />
<br />1'- ~,,_
<br />
<br />APPROVED BY: "'/'
<br />Tra"ic Revi_>/(',~
<br />/
<br />P.oject Managemen '
<br />
<br />Pernlltl & Inspecuon:
<br />
<br />Development Review: ' .. 'V, ,',
<br />.
<br />Guaranlee ESlimate Review:
<br />
<br />Dale Permil Approved:
<br />
<br />Fee. $
<br />
<br />Paid
<br />
<br />
<br />, --.-"-
<br />
<br />5514 7th St. Zephyrhills. l"la. 33540
<br />. ,:-' ;. ,.. I Mailing Addren (SI'88t, Cily. State)
<br />
<br />"
<br />
<br />.'
<br />
<br />I
<br />I .~~
<br />NOTE: SUBMIT.. COPIES OF SITE PLAN WITH THI~ PERMIT
<br />
<br />i
<br />. (813) 788~0/100
<br />-----.- .-- Tel8Phooc Number ~nclude Atea Code)
<br />
|