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<br />f;'ASCOPOUNTY DEVELOPMENT- REVIEW
<br />WEST PA.SCO GQVT. CENTER S-230
<br />7530 UTTLi: ROAD
<br />NEW PORT RICHEY, FL 34654
<br />(727) 847-8142
<br />(352) 521-5144
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<br />RIGHT-Of-WA Y USE PERMITI
<br />PA~CO CQUNTY
<br />- USE PERMIT -
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<br />~Sunshine-One Call"
<br />(800) 432-4770
<br />- 48 hours prior to excavation .
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<br />GENERAL INSTRUCTIONS
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<br />No conslruction, under ground or above ground, bf any laclllty, shall be accomplished on any County Rlghls of Way without wollen approval from
<br />Ihe County, Any application for approval of construction operallons on any County owned Rights of Way shall furnish a detailed draWing showing the
<br />com pie Ie scope of the proposed work in quadrupllcale to the County for review and approval prior to the commencement of any work, A copy of this
<br />permit must 'be kept r.adlly avaUable at the alte of the work at all tlm.s.,
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<br />T"" R County Road . ?' "I,; ",' /:J'" 'I Date /0 ,3/ (,/,3
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<br />See, No.
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<br />Permit For
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<br />LOCATION (Legal Description)
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<br />(Address of Permittee)
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<br />(Name of Permittee)
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<br />Permission is hereby granted 10 <'~ ; "(/I ,// 7~
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<br />for the construction and maintenance 01
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<br />(Descriptipn of Work)
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<br />subject to Ihe following condilions:
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<br />1. The construction and maintenance of such utility shall not inlerfere with the property and rights of a prior occupant.
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<br />2, All work shall be done in keeping with the standards of Pasco County and atlhe satisfaction of Pasco County, who will be nolified at leasl
<br />one day prior to commencement of conslruction,
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<br />3, All malerials and equipmenl shall be subject to inspection by Pasco County,
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<br />'.' 1- During construction all safely regulalions of the Florida Department of Transportation shall be observed; and Pasco County shall be relieved
<br />of all responsibilily from damage of any nalure arising from this permit. Subjecllo the same lerms and conditions, the permil holder may take such
<br />safely measures, including placing and display of caution signs, as it may deem necessary'.n conduct of construclion and mainlenance work hereunder.
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<br />5,. All private and all Pasco Counly property shall be reslored to ils original condition as far as practical, in the opinion of Pasco County,
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<br />6, All underground crossing installations shall be laid al such depth as may be speCified by Pasco County, unless otherwise authorized, Installa-
<br />tion of utllltl.. under County road. shall be by lacking and boring only,
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<br />7, The sketch (four copies) covering the details of this inslallation shall be made a part of their permil. This permit is granted wilh the understanding
<br />Ihal the ap'plicant has notified all other ulllily users In Ihe area covered by the permit and lakes full respollsibllity for any damage incurred by prior
<br />installiillions 86 a result 01 his operations, He also takes full responsiQility lor notifying any and all utility or underground users of his proposed operations
<br />in order that Ihey may safeguard Iheir inlerests,
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<br />8:'ltis e/(pressly slipulated thaI this permit is a license for permissive use only and Ihal Ihe placing of facilities upon public property pursuant
<br />10 Ihis permilshall not operate to creale or to vest any property righl in said holder.
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<br />9, Whenever Pasco Counly decides 10 further exploit the County Righls of Way, any or all of said poles, wires, pipes, cables or olher facilities
<br />and appurtenances authorized hereunder, shall be immedlalely removed from said Rights 01 Way, or reset or relocaled thereon as required by Pasco
<br />CountV at Ihlt expense of Ihe holder of this permit.
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<br />10, The holder shall save and keep Pasco Counly harmless from any and all damages, claims, or injuries that may occur by reason of Ihe cons,lruc,
<br />tion, mainlenance and operation of said facility, '
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<br />11, The holder shall complete Ihe requesled work Wilhil'l"30i60/90~1r this permil shall become null and void, In Ihe event Ihe work re-
<br />quested is no4 completed upon the expiration dale of this perffiil7"PI!ctr'County shall have the right to com pie Ie such work and 10 charge Ihe holder
<br />of the permil for all cosls incurred In completing said work,
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<br />" ' 12, )he permillee shall post a cash or surety performance guarantee with the Counly Clerk, Based on a cosleslimate prepared by Ihe permillee's
<br />l engineer and llpploved by the County, The amounl of the guarantee is to be an amount equal 10 125% of the cost to construcllhe permilled improvements,
<br />~l',nhe event a surely bond is posted, Ihe said surety bond shall be made payable 10 Pasco County and shall obligale Ihe surely 10 hold Ihe County
<br />('harmless in IRe eventlhe holder of Ihis permit should fail to meet any of ils obligations, hereunder, The bond shall also indemnify Pasco County for
<br />all court costs and reasonable allorneys fees in Ihe event legal action is required to collect or said bond,
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<br />I 13, The Iilermillee shall pOSI a cash or surety maintenance guarantee with the County Clerk based on a cosl estimate prepared by the permillee's
<br />I engineer and approved by Ihe Counly, The amoung of the guaranlee is to be an amounl equal 10 15%<>1 the,c;ostlo conslructthe permilled improvements,
<br />\In the event $ surety bond is pol;iled it ,shall meel aU the criteria stated in No, 1~ above, .I. ; , i '.. ',!, ,... '7_; 1': '", i
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<br />14, SPEOIAL CONDITIONS ..(", ,~., ,,/ ,f./, / ,(fl' (.'{'''/:::''/A,,f''~:, ' ,,'-,f',.,-I, h" J-< h', .."
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<br />APPROVED s':.t. ..J q iJ,j ic' ,\",.1"
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<br />SUBMITIED BY: r ~ \ "',AI i._..."
<br />Signature
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<br />Public Works:
<br />Guarantee Esitimate Review:
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<br />Development Review Approved: (it J),
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<br />Print Name and Title
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<br />Mailing Address (Slreet, Cil.y, State) " ..
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<br />Talephone Number (Include Area Code)
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