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<br />a'A8COCOUNTY DEVELOPMENT' REVIEW
<br />WEST PASCO GOVT. CENTER S-23O
<br />7530 LlTllE ROAD
<br />NEW PORT RICHEY, Fl 34654
<br />(727) 847-8142
<br />(352) 521-5144
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<br />No construction, under ground or above ground, bf any facility, shall be accomplished on any County Rights of Way without written approvallrom
<br />. the County, Any application lor approval ot construction operations on any County owned Rights 01 Way shall furnish a detailed drawing showing the
<br />complete scope ot the proposed work in quadruplicale 10 the Counly for review and approval prior 10 Ihe commencement of any work, A copy of thla
<br />permit muat,'be kept readily avajJable at the alte 01 the work at all tlmea., '\
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<br />Sec No, T 'I/o R Counly Road ,/,:,1" '/!"'''' ,",1/"/ Dale /0 ..--:f;/. 03
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<br />Permit For t' .,t,(: ,.(}'~'c.Ui;'ljl,/l- / II~--
<br />(Project Name)
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<br />RIGHT,Of-WAY USE PERMIH
<br />PA~CO CQUNTY
<br />- USE PERMIT -
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<br />MS~~;!.~n~ 6~~IN '~;
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<br />(800) 432-4170
<br />- 48 hours prior to excavation -
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<br />GENERAL INSTRUCTIONS
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<br />LOCATION (legal Descriplion)
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<br />(Name ot Permittee)
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<br />for the conslruction and maintenance ot
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<br />Permission is hereby granted 10
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<br />(Descrlpti'~n 01 Work)
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<br />subjecl 10 the following conditions:
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<br />1, The construction and maintenance of such utility shall not interfere with the property and rig hIs ot a prior occupant.
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<br />2. All work shall be done in keeping with the standards of Pasco County and at the satisfaction of Pasco County. who will be notified atleasl
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<br />one day prior to commencement of construction.
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<br />3. All malerials and equipment shall be subject to inspection by Pasco County,
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<br />., 1. Durir\Q construction all salety regulations of Ihe Florida Department of Transportation shall be observed; and Pasco County shell be relieved..
<br />of all responsibility Irom damage 01 any nature arising Irom this permit. Subject to the same terms and conditions, the permit holder may take such
<br />safely measures, including placing and dlaplay of caution signs, as il may deem necessary in conducl of construction and mainl8MOCe work hereunder,
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<br />5. AUprivale and all Pasco County property shall be restored 10 its original condition as lar as practical, in the opinion 01 Pasco County,
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<br />6. All underground crossing installations shall be laid at such depth as may be specified by Pasco County, unless otherwise authorized. Installa-
<br />t/Qn 0' utJU.... under County roada ahall be by lacking and boring onty.
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<br />7. The sk.tch (four copl..) covering the details of this installation shall be made a part of their permit. This permil is granted with the underslanding
<br />th&t the applk)am haa noUned all other utility users In the area covered by the parmll and lakes full responsibility lor any darnage incurred by prior
<br />inslallations aa a result of his operations, He also takes lull responsibilily tor notifying any and all utility or underground users of his proposed operations
<br />in order thaI lihey may safeguard their interests. '
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<br />8.11ia ell pressly stipulated that this permit is a license lor permissive use only and thatlhe placing 01 facilities upon public propertypursuanl
<br />to this permil'lhall not operate to create or to vest any property right in said holder. '
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<br />9. Whenaver Pasco County decides 10 further exploit the County Rights 01 Way, any or all 01 said poles, wires, pipes"cables or other facilities
<br />and a~r1enancea authorized hereunder, shall be immediately removed trom said Rights of Way, or reset or relocaled lhereon 88 required by Pasco
<br />Count~ at the expen.. of the holder of this permit.
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<br />10. The holder shall save and keep Pasco County harmless Irom any and all damages, claims, or injuries that may occur by reason 01 the construc-
<br />tion, maintenance and operation 01 said laclllty. '
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<br />11. The holder shall complete lhe requested work withi(4"'30i60I9O.t1&P 91~r this permit shall become null and void. In the e\lent the work re-
<br />quested is noI completed upon the expiralion date of this permit';"'Pl1ldtl"unly shall have the right to complele such work and to charge the holder
<br />of the permit ,lor all costa Incurred In completing said work.
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<br />" . 12. )rhe "ermltt.. shall post a cash or surety performance guarantee with the County Clerk, Based on a coal estimate prapared by the permittee's
<br />l engineer and approved by the County. The amount of the guaranlee is to be an amount equal 10 125% of Ihe coat to COfl8truct the powmItted lnIprovemenls.
<br />')rfthe event a surety bond ia posted, Ihe said surely bond !thall be made payable 10 Pasco Counly and shall obligate the surety '10 hold lhe County
<br />f. harml... In tile event the holder ot this permit should faU to meat any ot Its obligations, heraunder, The bond shaH al80 lndernnlty Puco Counly 10f
<br />aU court cost, and reasonable attorneys fees in the event legal action is required to collect or said bond,
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<br />13, The permltt.. shall posl a cash or surely maintenance guarantee with the County Cler.k based on a coal estl~ate prepared by lhe permittee's
<br />I engineer and lilPPfoved by the Counly, The amoung of the guarantee is 10 be an amount equal to 1 Mob 01 the 9081 to construct the permlUed Improvements,
<br />\In the events surety bond is ~ted it shall meet al~,th~e cr~teria state~ in No. l~.a~ove.',., ,J ;,. I,,' , ...'1:.~' t. 'Ii, i
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<br />14. SPECIAL CONDITIONS i.., .-",:,,;.,' /0, ,.","i.-' ,)..{,.,,.~:.tl;l,,f'I..', ,I ,;'Ilf..",rll1tAe.'B.j.t'~"jl/.,;I, ,,;1
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<br />APPROVED 1i~t.Jq L,~io' ~-- t '.
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<br />Utilities servi~~' . '(/J r' I ,I ) J r
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<br />, Traffic RevieJ). I "ld_ J j .I 1 I t- 14'1' (" i. ;I.
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<br />Permits & I~ion:l i
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<br />., Public Works~
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<br />Guaranlee E~timate Review: /;-:,,',..
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<br />Developmen' Review Approved: (/ AJJ . /1.'
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<br />SUBMITTED BY: K I it -.t12-.... ~
<br />Signature
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<br />Prinl Name and Title
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<br />Mailing Address (Slreet, Ci
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<br />Fee $ -t7Tt----.-----
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<br />Telllphone Number (Include Atea Code)
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