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<br />\,IAIL 10: . , ,,' <br />--mcO'CGUHTV DEVELOPMENT REVIEW <br />WE~n PASCO GOVT. CENTER 5-230 <br />7530 LITTLE ROAD <br />NEW PORT RICHEY, FL 34654 <br />(727) 847-8142 <br />(352) 521-5144 <br /> <br />lJ> l" <br />RIGHT-Of-WAY USE PERMIT' __ <br />PA~CO CQUNTY <br />- USE PERMIT - <br /> <br />Ii J) I' ( 1-- \ )/ <br />/./ <br /> <br />'-..J.: <br /> <br />GENERAL INSTRUCTIONS <br /> <br />,/,: I .,..i I \,.' ", <br />"Sunshine-One all" <br />(800) 432-4770 <br />- 48 hours prior to excavation. <br /> <br />~";'. '-"'." , . , <br />, No conatrUQlion, under ground or above ground, bt any facility, shall be accomplished on any County Rights of Way wilhoul wrlllen appr~~al 'from <br />the County. Any application for approval of construction operations on any County owned Rlghls ot Way shall furnish a detailed drawing ahowlng 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 o' this <br />permit mu.t:b. k.pt r.edlly avaUabl. at th. "t. of th. work at all tlm...I. <br /> <br />Sec. No, T .~ R County Road. 'j. .1,;; ':,',:/l:..i Date 10 ' .81 (/3 ' <br /> <br />Permit For .. ,t,t': ...OU'd./llc/l,/l'- I <br /> <br />LOCA TION (Legal Description) <br /> <br />/or.),. ,J', <br />.... ~:;r "'j' ~-". <br /> <br />(Project Name) <br /> <br />'.,1...._-- <br /> <br />~-...........,~..-..,- <br /> <br />,'. <br />('", <br /> <br />~J..,j,7. 1...,/ <br />/ <br />r <br /> <br />, ) <br />of .: I,';, <br />(Address of Permittee) <br />/~:>,' <br /> <br /> <br />, . <br />""/~;'i is;.. /V.e'htA:'~~ <br />(Name of Permittee) <br />,.1", "")P -/ r;';:- ) ~ <br />,../ .J./. . .~. r'__~- f "". <br /> <br />/.-, <br />Permiulon IS hereby granled 10 /~_, O<;/i, ,,,1/ 7~ <br /> <br />::3 <br /> <br />for the construction and maintenance of <br /> <br />(DesCliption 01 Work) <br /> <br />" '7- <br />...'~I t~\....((~:.::,,/}/i.. .IV <br /> <br />subject to the following conditions: <br /> <br />,. The construction and maintenance of such utility shall not interfere with the property and rights 01 a prior occupant. <br /> <br />2, All wor$( shall be done In keeping with the standards of Pasco County and at the salisfaction 01 Pasco County, who will be noUfied alleasl <br />one day prior to commencement 01 construction. <br /> <br />3. All materials and equipment shall be subject to Inspection by Pasco County, <br /> <br />"~, During construction aUsalety regulations of the Florida Department of Transportallon shall be observed; and Pasco County shall be relieved.. <br />of all responaibility from damage of any nature arising from this permit. Subject to the same terms and conditions, the permit holder may take such <br />safety measure., Including placing and display of caution signs, as it may deem necessary In conduct of conslruction and maintenance work hereunder. <br /> <br />5, All pril/ate and all Paaco County property shall be restored to its original condition as far as pracllcal, in the opinion 01 Pasco County. <br /> <br />6. All underground crossing installations shall be laid at such depth as may be specilied by Pasco County, unless otherwise authorized. Installa- <br />tlqn of utllltl_ under County roada .....t be by jllcklng and boring only. <br /> <br />7, The ak.ch (fourcopl..) covering the details of this installation shall be made a part of their permit. This permit is granted with the understanding <br />thai the 8QPIicanl haa notlfted all olher utility users ill the area covered by the parmll and takes full responSibility for any damage incurred by prior <br />installations a8 a result 01 his operations. He also lakes 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 expressly stipulated that this permit is a license for permissive use only and that the placing 01 facilities upon public property pursuant <br />10 this permitl.lhall not operate to create or to vest any property right in said holder. <br /> <br />9. Whenever Paaco County decides to further exploit the County Rights 01 Way, any or all 01 said poles, wires, pipes, cables or other facilities <br />and appurtenances authorized hereunder, shall be Immediately removed Irom said Rights of Way, or reset or relocated lhereon.. required by Pasco <br />Counl~ at theexpen.. of the holder of this permit. <br /> <br />10. The holder shall save and keep Pasco Counly harmless from any and all damages, claims, or injuries that may occur by reeson 01 the construc- <br />lion, maintenance and operation of said facility, ' <br />'~"'''''''''''''''l.. <br /> <br />11. The holder shall complete the requested work Withi~i60;;L1&O y,~r this permit shall become null and void, In the event the ~rk re- <br />quested is not completed upon the expiration date of this permi17"P1lrCtf'Counly shall have Ihe right to complete such work and to charge the holder <br />of the permit tor all coats incurred In completing said work, <br /> <br />" ' 12. )rhe permlllee shall posta cash or surety performance guarant.. with Ihe County Clerk. Based on a coal estimate prepwed by the permillee's <br />llJngineer and approved by the Counly. The amount of Ihe guarantee is 10 be an llffiounl equal to 125% of the coat to conatruct the pwmltted Improvemenls. <br />"}nlhe 8V8nt a surety bond is posted, the said surety bond shall be made payable to Pasco County and shall obligate the sun.yto hold the Counly <br />('harmless In the event the holder of Ihis permit should fail 10 meet any of lis obligations, hereun. der. The bond shall also indemftlty Paaco County for <br />all court C08ts and reasonable allomeys lee8 in the event legal acllon is required to collect or said bond. <br /> <br />I 13. The permittee shall po8t a cash or surety maint.nance guarantee with the County Clerk based on a cost estimate prepared by the permillee's <br />I engineer and approved by the County. The amoung 01 the guarantee IS to be an amount equal to 15o,i) of the qoat to conslluctthe permlUed improvements, <br />\'n the event a surety bond ia ~ted It shall meet al~,t~e cr~teria stated in No. '~, a~ove, I ._" ' i .. 'J" ,.. --7: ~.. r' 1\ ; <br />14 SPECIAL CONDmONS (.". -:.c ,J /1/ /. (fi:' ,~, ("':-~{''-;A.,Il't.,:''\ ) '-,h....r 11J,^t. /1./..,\.) I)~;J. ,I <br />\ "~ -- ,1. j./ ' I 17' .' <br />''-~7 . ) C/(,k., )~'l '''''-~ .t-/tJ....r". <br /> <br />/.<i'D , <br />r - <br />"j J~' .i!1 i' <br /> <br /> <br />, .) ,..1,1 I <br />~~ )\11 I C. I <br />r J..;';",;-- . 'L~i <br /> <br />APPROVED B~t. ->q ('.~ \c'~.... t" <br />i ' . ,()., ."'"u.... / If i I <br />Utilities Servicn~' '" I <br />TraffIC RevieJ). IiI.;' j . l I I I' <br />ill. _."_ ! <br /> <br />'iXcf~.icf~8n~~~e~r /':1'; I, t <br />~{r ,( /;' <br />Permits & Ins~tion;.' ;' <br /> <br />'j I <br />'-;;- \ t" <br />, <br /> <br />, "ii:I'}L'I.1 <br /> <br />t' %~~ 'I) , <br />" '" ( <br />f-~,..t"..( ~..... <br />" I <br />C) .:....,f\; , ' '. i : I <br /> <br />! 'I .' . <br />"'..j'l')'i~'_l: <br />" <br /> <br />,,' <br /> <br />;, i.\.. <br /> <br />._''!'i/./() \,:" <br />,i .:'1:'""""4 <br /> <br />~1'"<[1~ ') <br />K t it .tZ:-., . <br /> <br />Signature <br /> <br />( <br /> <br />(e <br /> <br />i <br />',ii',!, <br /> <br />SUBMITTED BY <br /> <br />~) <br /> <br />,'.. .\ <br /> <br />l ; '>':,U,;I"./~:.. (';:~J...... ..:';';\;/O'/~I.(.,/ /J-i:7k.', <br />Print Name and Title <br /> <br />_ . ",' " '1 <br />. ,.t" ,'/ I! L./ / '",' ;;J.'-LJ '~ <br />:. J_' 7' '...i;Si t:" "1,.~4'-"l t.. -- ::'~.:; -r-,:; <br />MaIling Addre&8 (Slreet, C;j~. State) <br /> <br />" Public Works: ! <br />Guarantee Estimate Review: , ' <br />.....h/. <br />Development Aeview Approved: (/ ~j' <br /> <br />.....~ ,,,," '~'~ <br />//,/' <br />/,~/., " <br /> <br />I,. ". ~" , <br />>tI A j ~, <br /> <br />j i' <br />/ <br /> <br />. ~)r)~tJ'-:(, <br />',"{r <br /> <br />Fee S -;t7/"t <br />Paid, t' -tI' 1+,_-:, <br />,........-.... <br /> <br />, I-i /' ~.,\ <br /> <br />, ~ " _ _ I 1":)- .,..,.1 <br />(-~-- ' ~. ",.. ~..... <br />T elllp;-.ona-Number(lncludeAreaCocli)------- <br />