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q / z, / f; DATE: _, I 6 I I ~~!:::i;:n: ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the Cltv Bundlng Department. A;IY application for approval of construction operations on any City owned Rights of Way shan furnish a detailed drawing sho';vlng the complete .cope of the proposed ."or:t 1\1 triplicate to the office of the Building Official for approval prior to the commencement of any work. A copy of this permit Is to be kept readily avaUable at the site of the work at all times. ~41- Soy - <11S~ ~~ ~23r 7fT"AOAH CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT RIGHT-OF-WAY USE PERMIT PERMIT# PARCEL I.D. # CITY ROAD DATE /0/1/'" I , CAVE LOCATION (Legal Description): ~ AveJ "ON. (., H.. S,- 10 (ourt- .rr n) I/.p (, ~_ (J{ 2~DLr'J.;/1s Permission Is hereby granted to VEH.lZON for the connrllctlon and maIntenance of - of SOU77lEAsr IlEG/ON FTIP I.SO' HOPE W/.FOC OJ'vIK. BOllE OK YRENCHFNG _subJect to the following conditions: 1. The construction and maintenance of such utility shall not Interfere wl'.h the property and rights of a prior occupant. 2. AD work shall be done In keepIng with the standards of the CIty Streets Department and under the .upervlslon of the City BuildIng Official, whc will be notlfled at least one day prior to commencement of construction. 3. All materials and equIpment shall be subJect to Inspection by the City Building Official. . 4. During construction an safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all responslblllty from damage of any nature arIsing from this permIt. Subject to the same terms and conditions, the permit holder may take such safety measures, Including placing and dl.play of caution sIgns, as It may deem necessary In conduct of construction and maintenance work hereunder. It Is the responslblDty of the permittee to 1111 5. All private and all CIty properly sllall be restored to Its orlllfnal condition as far as practical In the opinIon of the CIty Building OfficIal. 6. All underground crossIng Installadons shall be laid at such depth as may be .peclOed by the City Building omclal. 7. The sketch covering the details of thl.lnstallatlon .hall be made a part of this permit. ThIs permit Is granted with the undentandlng that the applicant lias notified all other utility usen In the area covered by the permit and take. full responsibility for any dlllllage Incurred by prior Installations as a result of his operations In order that they may safe guard their Interests. 8. It Is expre!lly stipulated that this permit Is a IIcen.e for permIssive u.e Dnly and that the pladng of facilities upon public property punuant to this permit shall not operate to create or to vest any property right In said holder. 9. Whenever the City decides to further exploit the City Rights of Way, any or all saId poles, wires, pipes, cables, or other facJlltles and appurtenances authorized hereunder, shall be IllUDedlately removed from said Right! of Way, or reset or relocated thereon as required by the City Building Official at the expense of the holder ofthls permit. 10. The holder shall save and keep the CIty harmless from any and all damages, claims, or InJuries that may occur by reason of the construction, maintenance, and operation of .ald fadllty. 11. The holder .hall complete the requested work within days or this permIt shall become null and void. In the event the work requested Is not completed upon the expiration date of this permit, the City shall hsvp. the right to complete such work and to charge the holder of the permIt for all costs Incurred In completing saId work. Bu~lding Off~c~al Date: or .urety bond with the City Manager In the sum of $ dollars to guarantee pcrf"rmance of the nee of the right-of-way descrIbed herein for a period of one (1) year following completion of the requested !~, the .urety bond shall be made payable to the City and shall obligate the surety to hold the City harmless In to meet any of Its obligations hereunder. The bond shall also Indemnify the City for all court cosll and :Ion Is required to collect on saId bond. APPROVED BY: CITY OF ZEPHYRHILLS Utilities Supervisor Date: Public Works: Date: SUBMITTED BY: ~~L<=m;07NEASTKEGIOHFJ7? BIJ(J(J ADAMO OK. (FLTP 06S2) TAMPA FL 33619 C~ty Manager: Date: