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t:.l~ 1- 504 - cn5~ ~ Jf~~'jt~ ~23' 7FFAoAH CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT RIGHT-OF-WAY USE PERMIT PERMIT# DATE: No construction under around or above ground of any facility shall be accomplished on any City RIghts of Way without written approval from the City Buildhlg Department. A;IY application for approval of construction operation. on any City owned Rights of Way shall fllmlJh a detailed drawing showing the complete scope of the proposed '"or:( hI triplicate to the office of the Building Officfal for approval prIor to the commencement of any work. A copy of this permit Is to be kept readily available at the site of the 'Work at all times. PARCEL I.D. # CITY ROAD DATE /O/J/t7' . , CAVE LOCATION (Legal Description): / A r / H.. ('- h, V lJeJ rfOIA !1 ~L _ (ourt- .rr /1) I/.p Dft (J{ 2eDL'(,CI/C _ f_ . Permission Is hereby granted to VEIl.lZON for the conJtmctlon and maIntenance of - I.SO. HOPE W/.FOC BYE/IX. BOllE OK YRENco. v _subJect to the following conditions: J; ! fl'--' b 1. The construction and malnte~eQfsucb U~D'bot4nf tJere wI.h e ~ 2. An work shall be done In keepIng with the standards of the City Streets epartment and under the su f the B In will be notified at least one day prior to commencement of construction. 3. AD materials and equipment .hall be subJect to Inspection by the City BuildIng Official. I j1 4. During construction all safety regqlatIons or the Department or Tran.portatlon shall be ob.erved and the City Shalll~Te~} all / responslbmty from damage of any nature arl!ln6 from thIs permit. SubJect to the same terms and condItions, the permIt holder may k such sd measures, Including pladng and dIsplay of caution sIgns, as It may deem necessary In conduct of construction and maintenance work cund. It Is th responsibility of the permittee to 1111 ~ 5. An private and an CIty properly sllall be restored to Its original condition as far as practical In the opinion of the CIty B ding 0 al. 6. All underground crossing Installadons shall be laid at such depth a. may be spedfJed by the CIty BuildIng OMclal. 7. The .ketch covering the details of thl.lnstallatlon shall be made a part ofthls permIt. This permit Is granted with the under.tandlng at the applicant lias notified all other utility nsen In the area covered by the permit and takes fun responslblnty for any dlllllaRe Incurred by prior Inst atlons as a result of his operations In order that they may safe guard theIr Interests. 8. It Is expre!.ly stfpulated that thIs permit Is a license for permIssive use only and that the placing offacllltles upon public property pursuant to this permIt shall not operate to create or to vest any property right In .ald holder. ~. Whenever the City decides to further exploit the City RIghts of Way, Iny or aD saId poles, wires, pipes, cables, or other facUlties and appurtenances authorized hereunder, .han be Immediately removed from said Rlghtll 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 .hall save and keep the City harmless from any and an 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 havOl the right to complete such work and to charge the holder of the permit for an costs Incurred In completing said work. APPROVED BY: :6 . () CITY OF ZEPHYRlIILLS Y '1 =~ ,'''oW ~ ;j)j}f<- Utilities Supervisor, Date:' A / $1- . or .urety bond with the City Manager In the sum of $ dollars to guarantee perfJrmance of the of the right-of-way descrIbed herein for a period of one (1) year following completion or the requested he surety bond shall be made payable to the City and .hall obligate the surety to hold the City harmless In eet any of Its obligations hel't!under. The bond shall also Indemnify the CIty for all court costs and I. required to collect on saId bond. City Manager: Date: SUBMITTED BY: &~~foe 6-) .. 1Jrf~-1.... Nli&PSOll7HFAST _fON F77P t7 AD. "() Ox. (FL7?06S2) TAMPA FL. 33619 Public Works: Date: