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<br />. OATE: / CJ/; RiO ~ <br /> <br />CITY oar ZEIJUYIUIJLI..s - DUIUJING DEPARTMENT <br />IUGJIT-OI'-W A Y USE I'ERMI'I' <br /> <br />PERMl'l'#I c?? f}gO <br /> <br />No con.tf1ldlon under a~ound .r .hove anund .r an.v r..lllt,dl.U b. .ceoln,l..h.d .n ~ C..., R....... .rw.,........ "'t':..:s,...... 1ft. .... <br /><:111 Dulldln,. U"'IIr.m.n.. Arv.ppllc.t.... r.r ."rov.l.r -..nee..... .,er.tlon. lift ..., C..,."..... RIp.. .r w., ...... ....... . .........."... <br />.... com,I... .cop. or .1.. Propo..d ".rk In trlpUut. to .he offlc. .r the Bulltllna Official ror .pproy.1 prior Co .... _... or.., ".rle. A _".,..... , <br />,.rmll " to b. kepi re.dll,.nllable.t the .It. .r II.. ".rk lit 1111 .Inle.. <br /> <br />PARCEL I.D. " <br /> <br />CITV nOA" C A V F <br /> <br />DATE <br /> <br />WCA'f10N (Lepl De.crlp'lon) " . <br />-=S--C>--'=dTL::i ~ Q..E. C /JUs., ;=::R~/YI, ~WE~. (,~~ :! Tit sr- ~A- ~ Tl::;) <br />TH~ BA.o:;-r'~/D':' Q~~!i.Iis:..~~ <br /> <br /> <br />or <br /> <br />2. All "ork "I~II be dune ... kc:eplna "'ilia the .tand.rd. 0' the CI.y Street. Deparllhen' and under Che lupenllioa or Che City BuIld.... OIllclaJ, "be <br />"III be nolllkd .t lell.' one dll)' prior to commencement or eOlll'f1Idlon.' . <br /> <br />I. Tho con"f1IclJon and m.In'enance 0' .uch ulllll)'.11II1I no"II'erfere "lth the prop.r', and .........r. prior OClCUp..... <br />;' <br /> <br />3. All m.'erl.1I and equlpn....' 11..1111, .ubJec' to INpectlon II, 'M CII, Uulldlnl OfficiaL <br /> <br />...... <br /> <br />4. Durlnl c:ons'l'1ICllon .1I..r.,)' reaulaUons or dl. Dep.rtmen' .rTr....por'..1on lhallll. ....n.d and .... Ch'...... lie nIJov" 0' aU <br />re.ponsIIlUIt)' rrom d.m.ae or .n, nature .rb.... r....m thll pennlt. SubJec. Co tl.. ..Ine '.rml aad c:oncU&lau,......................, lake...... uIe9 .........., <br />Includba plaelna .nd dlspla, or c.u'lon lips, .. II m.)' deem n_...1')' In conduct or cons'f1Icdon .... .............. .ork ........r. It II ... .....lbUItJ ., <br />'b. permltt.e to pl.c., m.InI.In, .nd lupen". .1I'ramc:'c:on'rol and dnlce.. <br /> <br />S. All prIY,,'e .nd .11 CU)' p....perly .1a.1I be re.'ored to U. orl""'l condUlon '"~ r.r.. practical In tho .plaloa .,.... CltJ BuUdIaa OfllolaL <br /> <br />6. All under.round cro..In.....'III1"lIon. .hilll he 1"ld .. .ucla deptla II' n'IIY b. .I,eeln.d bl tho CIC1 Bull..... OIl1dal. <br /> <br />7. ' The .ke'ch cov.rlna the d.'.lts .r thts 11I".llatlon ....U II. mlld.:a p.rt or Ih.. p.rmlt. Thll ,.rllll. "1fIUICod "Ida .... ......n........ .... .... <br />"ppllellft' h.. not.fled .U o'hor utlUt, u..n In tho ..... COy..... ,,)' Che permU lIftd 'Ilk.. full ....ponslllllltl.r ...,....... __.... ., prior ...'--!J....... .. . <br />....uI..r... oper.lIon. In ord.r th.'.h., m.)' .ar. pard 'heir Int.re.... <br /> <br />8. It I. ellpre..l)' .lIpul.ted .hat .hls permit .. . license ror p.rmls.lve u.. only ..Id .ha. 0.. plac:lna or,acIIItIu up.. ....1Ic p....,.,., ,..,...... .. ..... <br />permit .1..11 not op.ra', to cre... or '0 n.t any P....'.rtl rlpt In ..Id hold.r, <br /> <br />9. Whenever '''e CIt, decld.. .. furtl..r el..101t ,... CIt, Rip" .r W.)', ...,..r IIU ..1. poln, "I...."..... ......'.r.....r.............. <br />.ppul1......... .ul......... ......und.r, ....11 ". 1.......dl.'.I)' ...move" from ..1.. Rlallt..r W.y, .r ...... .r nloc.W ........ .. ......... .,.. at; 1uIW.., <br />Omc:lal., the .Ipense or .he holder .r..... permit. <br /> <br />.' 10. The holder .hall."ve and keep tI.. CIt)' h.rml... rrom an)'.nd .11 d.m.cu, clalm.,.r lnJurIe. that ..., 0ClCUI' "'.........r.... COllI'..... <br />m.In........c., and oper.tlon .r ..Id r.clll')'. . . <br /> <br />II. T"e holder .hall complet. the reque.'ed "ork "U"ln dll)" or ..... p.rmlt IhaU 1Ioc:o......... ftId. 11I......_... work .......... <br />II no. comple..d upon tI.. '11,lratlon d.'e .r .h.. p.rmlt, .he CIl, .h.lIl..ve d.. rlpt to complet. .uch w.rk ... .. ... ... ....... or... ...... ,... aU..... <br />~urred In compl"lnl.~d "ark. <br /> <br />12. 1'lte holder .h.1I po.'. cub or .ure'l bond ,,1111 d.. CII, M....ger In 'he .UIn .rs .01lan".......1ee ..rr_oI.....1IpCJou <br />henln, .nd '0 luar.n'ee maln'enance.r'he rlp...r."., d..crlbed herein ror. period or one (1) year 'olio..... _....... .,............. ....,........11I... <br />.nA' · .ure', bond II po"ed, tho .urelllte.1I1 .....1 be m.de p.y.blo '0 '1.. CIl,.n. .hall.bOpe, .... .ure.,.. bold ... a, ......... .. ... ..... .. ....... or <br />thb permit .Ia.uld r.1I '0 mcet .n,.r II. ..lla.tlo... hereunder. n.. lIond .hall.bo Indemnlry 'ho a., ror aU court COlli aDd .......... aUonIeJ', ... .. tile <br />enn'l.a.1 .ctlon I. required '0 collecl ... ....d bonel. If t <br /> <br />13. The I'ermlllee ....III..,.e . 14 "our .nleraenc)' con'"c:t naUl. lift. number 1I.'e" be"". <br /> <br />SUDMI'l"I'EO BV, <br /> <br />APPROYED BV, <br />CITY OF ZlPIIYRII~L , _ <br /> <br />Bulldlna Olllclll . ~ irAV\::,t Y <br />Date, ~ ~ , <br /> <br />UIW'Ie. Sup,nlsor ~ ~ <br />Datil <br /> <br /><P<~"~~7fp:H . <br />Slpa,u... ,Ie -; 12 A...lS'R. <br /> <br />. . <br /> <br />Addre../2d' E J.../ /YJF:' _5T '-/fkBLANq. FL . 33ao / <br />Plaone (8~ (;;a.3 - OFiC:;::> , : <br /> <br />Pub. W.rIu <br />D.Ie, <br /> <br /> <br />atl M....aer <br />Uate, <br /> <br />~_:.:.~------:- <br /> <br />"' <br />'. <br /> <br />. _______,.___.u_ <br />