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<br />,'vI~)lIO:, .," <br />P'"ASCO-COUNTY DEVELOPMENT REVIEW <br />V'/eST PASCO GOVT. CENTER S-230 <br />7530 LITTLE ROAD <br />NEW PORT RICHEY, FL 34654 <br />(727) 847-8142 <br />(352) 521-5144 <br /> <br />o ;; <br />" RIGHT-Of-WAY USE PERMITI <br />PA~CO CQUNTY <br />- USE PERMIT - <br /> <br />l.L It' J I I (' i,..');;h ,-,(. <br />, I <br />t. '7'7 lr' .' <br />t .,' ,",j l (", -. ,; <br /> <br />"Sunahlne-One all" <br />(800) 432-4770 <br />- 48 hours prior to excavation - <br /> <br />GENERAL INSTRUCTIONS <br /> <br />~Vd ....~1,"..., <br />, No constructlon, under ground or above ground, bf any lacilHy, shall be accomplished on any Counly Rights 01 Way without written appro~al'from <br />the County. Any applicatIon for approval of construction operatIons on any County owned Rights of Way shall furnish a detailed drawing showing the <br />complete scope of the proposed work in quadruplicate to the County for review and approval prior to the commencement of any work. A copy of this <br />permit mu.t,'be kept readily evat/abte at the "te 0' the work at aU time..). <br /> <br />Sec. No T .. R County Road ".j'.,",; ,.'..:",..",.1/..., Date /0. .3/, (>3 . <br /> <br />Permit For : .;.,< ,/J/:Nt't:l/I/i./V/- I <br /> <br />LOCATION (Legal Description) <br /> <br />,-;J. , <br />I'" .;:'1 "l{';",' <br /> <br />(Project Name) <br /> <br />/t.,-- <br /> <br />--..........-....., <br /> <br />(, ,0, <br /> <br />'.J"b'," ~ i,./ <br />/ <br />" <br /> <br />of <br /> <br /> <br />;~'-? <br />(Address of Permlllee) <br />./~ ,.: <br /> <br />/, I <br />... ,. ~ <br /> <br /> <br />/1:.Iu'5.t. A/;:/}vr4:t'~ <br />(Name of Permittee) <br />,,'1';/."0-/ r,-;;' <br />r-. -"/. . u~.r..~, I <br /> <br />, - <br />~.;.: .. <br /> <br />.:3" <br /> <br />for the construction and maintenance of <br /> <br />Permission is hereby granted to <br /> <br />r..'" , _, "" <br />c~ ; ";',/10,.-1-.1 :7 <br /> <br />(Descripti()n of Work) <br /> <br />, ", .). , ,1".- . 7'''''''' <br />/'..If..;;l/~ J;.'.~;j;O '- I'v. <br /> <br />subject to the following conditions: <br /> <br />1. The construction and maintenance of such utility shall not interfere with the property and rights of a prior occupant. <br /> <br />2. All work shall be done in keeping with the standards of Pasco County and at the satisfaction 01 Pasco County, who will be notified at least <br />one day prior to commencement of construction. <br /> <br />3. All materials and equipment shall be subject to inspection by Pasco County. <br /> <br />';,'~. During conatruction all safety regulations of the Florida Department 01 Transportation shall be observed; and Pasco County shall be relieved <br />of aU responsibility from damage of any nature arising from this permit. Subject to the same terms and conditions, the permit holder may take such <br />safety measures, Including placing and display of caution signs, as it may deem necessary in conduct of construction and maintenance work hereunder, <br /> <br />5. AUprivate and all Pasco County property shall be restored to its original condition as lar as practical, in the opinion of Pasco County. <br /> <br />6. All underground crossing installations shall be laid at such depth as may be specified by Pasco County, unless otherwise authorized. Installa- <br />tlQn of ulWtI.. under County I'CMIda .hell be by IKklng and borlflil only_ <br /> <br />7. The sketch (four copies) covering the details of this installation shall be made a part of their permit. This permit is granted with the understanding <br />that the awllcant hilS notified all other ulllity users In the area covered by the permit and takes full respolll!iiblllty for any damage incurred by prior <br />Installations as a result of his operations. He also takes full responsibility lor notifying any and all utility or underground users of his proposed operations <br />in order that they may saleguard their interests. . <br /> <br />8. II is e!lpressly stipulated that this permit Is a license for permissive use only and that the placing of facilities upon public prClpertypursuant <br />to this permit shall nol operate to create or to vest any property right in said holder. ' <br /> <br />9. Whenever Pasco County decides to further exploit the County Rights of Way, any or all 01 said poles, wires, pipes, cables or other facilities <br />and a~purtenances authorized hereunder, shall be immediately removed Irom said Rights of Way, or reset or relocated thereon as required by Pasco <br />Count~ at the expen.. of the holder of this permit. <br /> <br />10. The holder shall save and keep Pasco County harmless from any and all damages, claims, or injuries that may occur by reason of the construc- <br />lion, maintenance and operation of said facility. ' <br />~.,rtr."",""""'~"l"'~""'1, . <br /> <br />11, The hotder shall com~te the requeated work Wlthi@"3Oi60/90l1BC.Ldavs.br this permit shall become null and void. In Ihe event the work're- <br />quested ia not completed upon the expiration date of this per;nit~hall have the right to complete such work and to charge the holder <br />01 the permit for all costa incurred In completing said work, <br /> <br />" 12, )rhe permittee shall post a cash or surety performance guarant.. with the County Clerk. Based on a cost estimate prepared by the permiltee's <br />\, lJnglneer and apptOllWd by the County, The amount of the guarantee is to be an amount aqual to 125% of the cost to conatruct the permitted improvel1l8Ots. <br />)rithe event a aurety bond II poated, the said surety bond shall be made payable to Pasco County and shall obligate the surety ,to hold the County <br />('harm"" In the event the holder of this permit should fail to meet any of its obligations, hereun. der. The bond shall also indemnify P88CO County for <br />aU court coata and reasonable attorneys fees in the event legal action is required to collect or said bond. <br /> <br />1 13. The permittee shall post a cash or surety maintenance guarantee with the County Clerk based on a cost estimate prepared by the permittee's <br />I engineer and approved by the County. The amoung of the guarantee is to be an amount aquatto 15% of thec;o&l to construct the pennltted improvemenls, <br />\In the event a surety bond is posted it. s hall.meet all the criteria stated in N. o. 1~ above. .I _ J '. I," J, ,_' '1.2 /., ',. ,; <br />'-'r" . " "" ""'"IIIIAI' HJ.....-i:J,I/.J- Il,l <br />\ 14. SPECIAL CONDITIONS ':', .~~ v' . J' I.,) , r':' (. J- .J>(r'://..J./;I'''''~''l . .r .'-,1'" i.,,# , '''' '..'. , '. .( <br /> <br />\~:7 ,-' L~ _J.il, 'L yl) J <br /> <br />...r!"... ,..I. <br />,\ <br /> <br /> <br />,,~/ <br /> <br />'i" <br /> <br />APPROVED B':.!)...,) q Li~ 4' ,t.._ t ' <br /> <br />Utilities Serv~~~' ,()~ r'"' I t~ I J r <br /> <br />Traffic Reviej). j;~:J..I j I I" <br />~t.: " "f~1 [;.d, ,~..~... It . <br />,~ 'r~ecf ~n~~nt: I' .~':Yi U... ( 1, <br />~. . \./ /'- ,/ <br />Permits & InspectiOn;! ,/ <br /> <br />1\ ,t, <br /> <br />'. ,~\ <br /> <br />! ++-,~, ii"),,, <br />!' <br /> <br />I j\ <br /> <br />If <br /> <br />I' <br />, ! r-J. (;" I. i <, <br /> <br />E ;X/I f L I <br /> <br />1)-.~~";~. <br /> <br />'"{_L-1 <br />. <br /> <br />j-' :Ft )1 <br />. ( <br />t-':....J.~ l ," . <br />/ I <br />Ljl.'~.t(j:'_'li.: <br /> <br />( .. <br /> <br />. ',. "I,~'" <br /> <br />i <br /> <br />,'! /:'//, <br />! <br /> <br />: I' ,.AUU'~. ._~ . <br />'! ..,..- 7 <br />' 2' <br />, II. " <br />SUBMITIED BY K I " ol _tJL'-_., <br />Signature <br /> <br />\,.,;:'-/, j/ i, ',C <br />, <br /> <br />'.') <br /> <br />,', ".., <br /> <br />; //,." ~ <br />I.~- ~. I,..(.;'l~ '//)f'~/ ~~ (. {.)/L1 :,.J'-~-V'-"'7.1'i.W <br />Print Name and Title <br /> <br />/Ji",., <br /> <br />" Public Works: <br />Guarantee Estimate Review: , <br />"'tl.'l. <br /> <br />Development Review Approved: [! tiJ' <br /> <br />,/.1 ?' <br />k'/,~' <br />/.;~/' , <br /> <br />L.../. " <br />. / -,'~ 4 .~. <br /> <br />. ~:.t)~; .i~:,( <br />.- ",i ~'}Ir ",- <br />.r I <br /> <br />.,-~ "';.'. <br /> <br />,('.yl <br /> <br /> <br />J:~'- j .'~~.:~' ..;,...."":J.)-Lf ~~J <br />. ~, "'~ '.. -r--.,....J <br /> <br />Mailing Address (Slreet, Ci <br /> <br />Fee $ <br /> <br />',.,.t7Tr-------------------- <br />i...;- I __~_ I 1 _________ <br />I '.... <br /> <br />. ,,"j .. /' ~,.:;... <br /> <br />~~>~: r-..'.' .,- (' j :.;~-~.:: ~:-? <br />T elapho06Number(include-Area Code)---- ~----- <br /> <br />PaId <br />