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<br />,- PA9CO"qOUNTV DEVELOPMENT REVIEW
<br />WEST PASCO GOVT. CENTER S-230
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<br />7530 liTTLE ROAD
<br />NEW PORT RICHEY, FL 34654
<br />(727) 847-8142
<br />(352) 521-5144
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<br />RIGHT.OF-WAY USE PERMITI
<br />PA~CO CQUNTY
<br />- USE PERMIT -
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<br />GENERAL INSTRUCTIONS
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<br />"Sunshine-One all"
<br />(BOO) 432-4770
<br />- 48 hours prior to excavation -
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<br />No conslruc:tion, under ground or above ground, bf any facility, shall be accomplished on any County Righls of Way withoul written approval 'from
<br />'Ihe Counly. Ally application for approval of construction operations on any County owned Rights of Way shall furnish a delailed drawing showing Ihe
<br />complete scope of the proposed work in quadrupllcale to the County for review and approval prior 10 Ihe commencemenl of any work. A copy of thl.
<br />permit must,be kept reltdlly evaUeble at the elte of the work at all time.., '~,
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<br />Sec, No, T lj, R County Road )" '" /,i. 'kL! Dilte /0 -:$/' D 3
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<br />Permit For " ,f,< /"h'-..t'e.t./i/i/l/"- ~,.._~
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<br />LOCA nON (Legal Description)
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<br />Permission is hereby granted 10
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<br />for the construction and maintenance of
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<br />(Desc:rlption of Work)
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<br />subjeclto Ihe following conditions:
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<br />1. The construction and maintenance of such utility shall not interfere wilh 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 althe satisfaction 01 Pasco County, who will be notified alleasl
<br />one day prior 10 commencement of construction.
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<br />3. All malerials and equipment shall be subjecllo inspection by Pasco County,
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<br />"1. Durln9con.truction all safety regulations of the Florida Department of Transportation shall be observed; and Pasco County shall be relieved.
<br />of all responlibilily from damage of any nalure arising from Ihis permit. SUbject to the same terms and conditions, the permil holder may lake such '
<br />safety measures, including placing and display of caution signs, as it may deem necessary in conduct 01 construction and maintenance work hereunder,
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<br />5, All private and all Pasco County property shall be reslored to its original condition as far as practical, in Ihe 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 />tlQn 0' uUII.... under County roeda ahall be by lacking and boring only.
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<br />7. The sketch (four copies) covering the details of Ihis installation shall be made a part of Iheir permit. This permil is granted with the understanding
<br />thllt the a~ll4ant has nollned all other utility users In the area covered by the permit and takes full responsibility for any damage incurred by prior
<br />installations all a result of his operations, He also takes full responsibilily lor notifying any and all utility or underground users of his proposed operations
<br />in order that 'hey may safeguard Iheir interests,
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<br />8.'lI,is eIJpressly sllpulated that this permit is a license for permissive use only and thatlhe placing 01 facilities upon public property pursuant
<br />to this permit'shall not operate to creale or to vest any property right in said holder. "
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<br />9. Whe".ver Puco County decides 10 further exploillhe County Rights of Way, any or all of said poles. wires, pipea,.cables or olher facilities
<br />and appurte".nces authorized hereunder, shall be immediately removed from said Rights of Way, or reset or relocated thereon as required by Pasco
<br />Count~ atlh. expenae of the holder of Ihis permit.
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<br />10. The ~lder shallaeva and keep Pasco Counly harmless from any and all damages. claims, or injuries Ihal may o<::cur by reason of the construc-
<br />lion, malntentnce and operation of said facility. .
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<br />11, The hpIder shall complete the requaated work Withi~60;;118a..davsi>r this permit shall become null and void. In the ellent the work're-
<br />quesled i. nol completed upon the expiration date of this permi1~shall have the right to complele such work and 10 charge the holder
<br />of the permit tor all coals Incurred in completing said work,
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<br />.. 12, )rhe permittee shall posta cash or surety performance guarant.. with the Counly Clerk. Based on a cost estimate prepared by Ihe permittee's
<br />t f1ngineer and .pproved by the County. The amount of the guarantee is to be an amount equal to 125% of the coat to construcl the permitted improvements.
<br />'':In''lhe evenl ai 8t.Irety bond Ie posted, tho said surely bond shall be made payable 10 Pasco County and shall obligate the-.reey ,to hold the County
<br />('harmle..,n the evant the holder of this permit should fail to meet any of ilS obligations, hereunder. The bond shall also Indemnlfy Pasco County lor
<br />aU court cost. and reuonable attorneys fee. in the event legal action is required to collect or said bond.
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<br />I 13. The permittee shall pOSI a cash or surety maintenance guarantee with the County Cler,k based on a cost estimate prepa~ed by the permillee's
<br />I engineer and llPPI"oved by the Counly. The amoung of the guaranlee IS 10 be an amount aquallo 15% of Ihe cosllo construc;lthe pennilled improvements,
<br />\'n Ihe evenl 8 surely bond i. posted i~ .shall meet a~lhe cr~teria stated in No. 12, a~ove. f ,'_ .), " '," . ./: ~' T. > II, ;
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<br />\ 14, SPECIAL CONDITIONS ':', '"',.:. ,.' '/1/ "" ('i" l'..(t'/;':..iIAA't,:. ,; I ',1".';' In,At. R.I+!)t;i Ii..... ,;1
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<br />APPROVED B~f).->q U.i \oJ ,1.._ t '.
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<br />Permits & I~tion:i .'
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<br />SUBMITTED BY
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<br />Print Name and Title
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<br />Mailing Address (Street, CI.v. State)
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<br />'. Public Works:
<br />Guarantee Es1imate Review:
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<br />Development ~eview Approved: i/ ~)I
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<br />Fee $ _.+- " ,
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<br />Telephone Numbel(1nclude Area Code) .-------
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