|
<br />~'AIL 10: . " "
<br />~..tCO COUNTY DEVELOPMENT' REVIEW
<br />. .
<br />WEST f-"ASCO GOVT. CENTER S-230
<br />7530 L~ITTLE ROAD
<br />NEW PORT RICHEY, FL 34654
<br />(727) 847-8142
<br />(352) 521-5144
<br />
<br />"'A ( , (" , I
<br />V I ~ ; t I j I .;.... )-,', j I '-.l'
<br />,;;, RIGHT-Of.WAY USE PERMITI ' t
<br />PA~CO CQUNTY - /,: i :?) l ~-:-
<br />- USE PERMIT - "Sunshine-One b~II"
<br />(800) 432-4770
<br />- 48 hours prior to excavation -
<br />
<br />GENERAL INSTRUCTIONS
<br />
<br />"',;'; ..,,^~. ',..,
<br />
<br />No con8tructlon, under ground or above ground, bf any lacility, shall be accomplished on any County Rights of Way without wrlllen approvallrom '
<br />'the County. Any application lor approval of construction operations on any County owned Rights 01 Way shall furnish a detailed drawing showing the
<br />comptete scope of the proposed work in quadruplicate to the County lor review and approval prior to the commencement of any work. A copy 01 thl.
<br />permit mu.t,'b. k.pt r.adlly avaUlIbl. at tha alt. of the work at all tlm...,. i' \'
<br />
<br />Sec. No, T ~ R County Road J, ;" "I"~'i '~'~)T Dale _--.:..(0 "~/' D.3
<br />
<br />Permit For ,. .{,.;: /;'J'~~L/rk..IV/- t!"',-~
<br />
<br />(Project Name)
<br />
<br />---"'....-..-.,.
<br />
<br />LOCA nON (Legal Description)
<br />
<br />/"1
<br />;;---/1 " ['I,)
<br />
<br />("
<br />
<br />,.oj, 11,' Y ~ L.../
<br />I
<br />J'
<br />
<br />Permission is hereby granted to
<br />
<br />t'i , ' 0)/7....
<br />.r . tAI/J.) .
<br />
<br />~/~I{ / St.. AI;. /)tk~K:.$
<br />(Name of P!~millee)
<br />..1 /'/Q -/ XI'
<br />'/-.; . ,," r-.:.-.
<br />
<br />~.iJ. ,.f
<br />
<br />.f"
<br />
<br />lor the construction and maintenance of
<br />
<br />of
<br />
<br />
<br />/
<br />
<br />'t" .,' ""/V'r
<br />../l~t' :;J,..\ X;,C',.:.:. /~J 4..._ .
<br />
<br />subject to the following condllions:
<br />
<br />1, The construction and maintenance of such utility shall not interfere wilh the property and rights of a prior occupant.
<br />
<br />2, All work shall be done in keeping with the standards 01 Pasco County and at the satislactlon of Pasco Count)', who will be notified alleasl
<br />one day prior to commencement 01 construction.
<br />
<br />3. All m.erials and equipment shall be subject to Inspection by Pasco County,
<br />
<br />',; t, DurinQconstructlon all safety regulations 01 the Florida Department of Transportation shall be observed; and Pasco County shall be relieved"
<br />of all responsibility lrom damage 01 any nature arising Irom this permit. Subject to the same terms and conditions. the permil holder may take such
<br />safely mMSUIleS, including placing and display of caution signs, as it may deem necessary in conduct of construction and malntenance work hereunder,
<br />
<br />5. All private and all Pasco County property shall be restored to its original condition as lar as practical, in Ihe opinion 01 Pasco County.
<br />
<br />6. All unclerground crossing installalions shall be laid al such depth as may be specified by Pasco County, unless otherwise authorized. In.talla-
<br />"em 0' utUIt'-a under County roeda shall be by lacking and boring only.
<br />
<br />7. The sk.tch (lour cople.) covering the details of this installation shall be made a part 01 their permit. This permit is granted with the understanding
<br />thlit the aP.PlIcj:anl has noUned 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 lull responsibility lor notifying any and all utilily or underground users of his proposed operations
<br />in order that they may safeguard their inlerests.
<br />
<br />8. '1I,Is ell pressly stipulated that this pBfmit is a license for permissive use only and that the placing of facilities upon public property pursuant
<br />to this permit! shall not operate 10 creale or to vest any property righl in said holder. "
<br />
<br />9, Whenever Pasco County decides to lurther exploit the County Rights 01 Way, any or all 01 said poles, wires, pipes"cables or other lacilities
<br />and appurte,..ncel authorized hereunder, shall be immediately removed from said Rights 01 Way, or reset or relocated thereon as required by Pasco
<br />Count~ at th4$ expen.. 01 the holder of this permit.
<br />
<br />10, The hplder shallaave and keep Pasco County harmless from any and all damages, claims, or injuries that may Ql;cur by reason 01 Ihe construc-
<br />tion. malnte,.nce and operation 01 said facility. '
<br />_.....-~............~.....
<br />
<br />11, The l'lolder ahall complete the requested work withi~ieO/~P ~,~r this permit shall become null and '1oid. In the event the work re-
<br />Quested is ~ completed upon the expiration date of this permit';"'PI ' ' County shall have the right to complete such work and to charge the holder
<br />01 the permit.for all costs incurred In completing said work,
<br />
<br />" 12. )The permlUee shall post a cash or surety performance guarantee with the County Clerk. Based on a cost estimate prepared by the permiU..'s
<br />\. ltf)gineer and!lPP"oved by the Counly. The amount of the guarantee Is to be an amount equal to 125% of the coat to construct lhe permlhd Improvements.
<br />":rIft he event. aurety bond II posted, the said surety bond shall be made payable to Pasco County and shall obligate the aura4y to hold the County
<br />('harmle..ln tbe event the holder of this permit should fail to meet any of its obligations, hereun, der. The bond shall also i~ Pasco Counly lor
<br />all court cost. and reasonable attorneys lees in the event legal action is required to collect or said bond.
<br />
<br />1 13, The permittee shall post a cash or surely maintenance guarant.e wilh the County Cle~k based on a cost estimate prepared by the permittee's
<br />I engineer and IIpprovec:t by the County. The amoung 01 the guarantee is to be an amount equal to 15%-of the_cost to construct the pemUated Improvements, ",
<br />\In the event. surety bond is posted it shall meet all the criteria stated in No. 12 above. I , "'1.}./" ,
<br />
<br />, . 14. SPE~AL CONDI1IONS' /',; /<,./ '-,Tt>.~ r;j(fj". (~::(,.,~:{...vA,,f'~:; (l: :/.,-",,,,,f IJ};f;L"B,rf'~tl(I/..t.),\,)
<br />
<br />\..._~ -,' , . . ,'. f'~, / ') !/,l,' i' Hd"'i..( (.,.jl"lvt Ij'\ I )1(/.:.k.I)\I,4.,;.-~ +.;L.':>......:~//
<br />
<br />.' . I /'_Jo; -/: <) '0
<br />
<br />Ii
<br />I i \ 1 { I ,,~ . I Ii, t_. _,I, "
<br />, f''''
<br />
<br />
<br />o jlj I L f t 'J;t.,)' .
<br />l" ,J.....~~...~ '-L..(t' f--Lt~j ..' ;..(
<br />. /
<br />
<br />~
<br />
<br />:.,,.,/
<br />
<br />APPROVED B:.t...)q [; i '" ~;ti'
<br />i' ,( ), , , ~,-' I ;' j,
<br />Utilities Servic'8s~' ,,' '" I
<br />Traffic ReVieJ), t".., I I l j
<br />,~.... I
<br />Jr,. {." h l:", ,'I.' A,
<br />. roject ~an~ent: / ,~: y, I ,( , (
<br />. V. / i
<br />Permits & Inspectton:! !
<br />
<br />t.
<br />
<br />\.",;~lIF' i.i,_
<br />
<br />, t'
<br />l./ I....~I (i :~.I I, !
<br />
<br />I ,_:AU(),~ n
<br />.~: I .~
<br />
<br />.~
<br />-1')
<br />, I It .tt:_., ~
<br />
<br />Signature
<br />
<br />(,,!
<br />
<br />.-.~.
<br />
<br />;
<br />"~,I ",/,
<br />
<br />SUBMITTED BY:
<br />
<br />''')
<br />
<br />. I
<br />
<br />/( '~(.f :,/},,/S (~~l,),/. ;'1 >"n'/(.~...,/ /il:A1ir.',
<br />Print Name and Title
<br />
<br />i i /1 " ) ,-J '
<br />:..~,<:' ~:;. yl I,>(.:~:...i./:.;':/ t. ,~./~~t.f'" . -.',~'.-, .~.-..) -r-,:,~
<br />Mailing Address (Street. Ci~, State)
<br />
<br />. Public Workst
<br />Guarantee E$timate Review: ,
<br />~"~t
<br />
<br />Developmen~ Review Approved: /.+...
<br />
<br />,I ,;::<lr "
<br />",l "
<br />,I" I~ ~/' A ~ \,
<br />" ,
<br />
<br />i/ 1 '.~:II \"
<br />I I
<br />
<br />. -':.;1(') ~1't'~:.(:?
<br />
<br />fee $ ---t' .
<br />Paid, I~!_.-~:_
<br />
<br />,"j ,/ ~.,,:.;
<br />
<br />) (.,/ .' .,- <. (~5"'~.:' .~~~
<br />Teh;phorleNumber (Inclu~i8Aiea eo(jej---
<br />
|