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<br />CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT <br />RIGHT-OF-WAY USE PERMIT <br /> <br />PERMIT II <br /> <br />4t! ;3" <br /> <br />DATE: <br /> <br />No construotion under ground or above ground of any facility shall be accomplished on any <br />City Rights of Way without written approval from the City Building Department. Any application <br />for approval of cc;mstruotion operations on any City owned RJ,ghts of Way shall furnish a detailed <br />.drawing showing the complete scope of the proposed work in triplicate to the office of the Build- <br />ing 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 /> <br />See No. <br /> <br />Ii <br /> <br />.'~ity Road S?tJ p- //~ -#- Date <br /> <br />f-c!J-b -7'~- <br /> <br />LOCATION (Legal Description): <br /> <br />/ / -.J.~ _,Jl,j - 0010 - O;..JOO '-063D <br /> <br />of <br /> <br />Permission is hereby granted to <br /> <br />/Z1:5 () ^ / C"rJ /\/ ere ~ <br />. I . <br /> <br />LJjftl~~~ <br /> <br />- .--: /'"" .L <br />/Y.5o/l/" - /t/Sj),J LL>NCveT~__ <br />/ <br />for the construction and maintenance of <br /> <br />subject to the following conditions: <br /> <br />. 1. The construction and maintenance of such utility shall not interfere with be property <br />and rights of a prior occ~pant. <br /> <br />2. All work shall be done in keeping with the standards of the City Streets Department and <br />under the supervision of the City Building Official, who will be notified at least one day prior <br />to commencement of construction. <br /> <br />3.' All materials and equipment shall be subject to inspection by the City Building Official. <br /> <br />4. During construction all safety regulations of the State Road Department shall be observed <br />and tqe City shall be relieved of all responsibility from damage of any nature arising from this <br />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 <br />and maintenance work hereunder. <br /> <br />5. All private and all City property shall be restored to its original condition as far as <br />practical in the opinion of the City Building Official. <br /> <br />6! All underground ~ssing installations shall be laid at such depth as may be specified <br />by the City Building Official. <br /> <br />7. The sketch covering the details of this installation shall be made a part of this permit. <br />This permit is granted with the understanding that the applicant has notified all other utility <br />users in the area co~ered by the permit and takes full responsibility for any damage incurred by <br />prior installations as a result of his operations in order that they may safe guard their interests. <br /> <br />8. It is expressly stipulated that this permit is a license for permissive use only and <br />that the placing of f~~ilities upon public property pursuant to this permit shall not operate to <br />.create or to vest any property right in said holder. <br /> <br />9. Whenever the City decides to further exploit the City Rights of Way, any or all of said <br />poles, ~ire., pip~s, Cables, or other facilities and appurtenances authorized hereunder, shall be <br />immediately removed frOm said Rights of Way, or reset or relocated thereon as required by the City <br />B~ilding Official at the expense of the holder of this permit. <br /> <br />10. The holder shall save and keep the City harmless from any and all damages, claims, or <br />injuries that may ocour br.-reason of the construction, maintenance, and operation of said facility. <br /> <br />11. . The holder 8hall complete the requested work within days or this permit shall <br />become null and void. In the event the work requested is not completed upon the expiration date <br />of this permit, the City shall have the right to complete such work and to charge the holder of <br />the permit for all costs incurred in completi~g said work. <br /> <br />12. The holder shall post a cash or surety bond with ~he City Manager in the sum of $ <br />dollars to guarantee performance of the obligations herein, and to guarantee maintenance of the <br />right-of-way d~scribed.herein for a period of one (1) year fOllowing completion of the requested <br />. installation. In the event a surety bond is posted, the said surety bond shall be made payable to <br />the City and shall obligate the surety to hold the City harmless in the event the holder of this <br />permit should fail to. meet any of its obligations hereunder. The bond shall also indemnify the <br />City for all court costs and reasonabl~ attorneys fees in the event legal action is required to <br />collect on said bond. <br /> <br />APPROVED BY' /:J~ <br /> <br /> <br />~t'vt-1~ <br /> <br />SUBMITTED BY: /[~;~\.'M~n'L <br />Perm ttee) <br /> <br />Date <br /> <br />Signature & Title <br /> <br />Address <br />