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<br />DATE:~ <br /> <br />3&~3 -7(JF AtJ.4tZ <br /> <br />No construction under ground or above ground of any facility sball be accomplbhed on any City Rights of Way without written approval from the <br />City Building Department. ~y application for approval of construction operatioQl on any City owned Rights of Way sball furnish a detailed drawing showing <br />the complete scope of the proposed work in triplicate to the office of the Building OfficJa1 for approval prior to the commencement of any work. A copy of this <br />permit is to be kept readily available at the site oftbe work at all times. <br /> <br />CITY OF ZEPHYRHlLLS - BUlLDING DEPARTMENT <br />RIGHT-OF-WAY USE PERMIT <br /> <br />PERMIT# tflBh <br /> <br />PARCEL LD. # <br /> <br />CITY ROAD <br /> <br />DATE ~!t5fo7 <br /> <br />LOCATION(LegalDescrlption): 11Ld. ' ~~; r:d....- - II L - c' It yf,:., -s: ~ <br />. ~T/Jf;);r11r,~?1;:~'i*f!i-~ ~~_!;z!i~f /:tv:.,y+- btjJw;t-i. !f:rt/l<;J <br /> <br />............ bonby ......d.. ~~ ;;:La~ ~ of .c-oU'~~ ' <br />fortJleconstruc' andmainte:;nce f I '/J' ~ /1 }.j/JPi:=. j,$1i::6C-/ 1'o"./Lf/A'Ylo / /J~,r.../. <br />subject to the fo owing conditions: <br /> <br /> <br />2. All wurk shall be done in keeping with the standards of the City Streets Department and under the supervision of the City Building Officlai, who <br />will be notified at least one day prior to commencement of construCtiOIL <br /> <br />1. The construction and maintenance of such utility sball not interfere with the property and rights of a prior occupant. <br /> <br />3. All materials and equipment shall be subject to hupectiun by the City Building Official <br /> <br />4. During construction all safety regulations of the Department of Transportation sha1I be observed and the City shall be relieved of all <br />responsibility from damage of any nature arising from this permit. Subject to the same terms and conditions, tJle permit holder may take such safety measures, <br />including placing and display of caution signa, as it may deem necessary in conduct of construction and maintenance work hereunder. It is the responsibility of <br />the permittee to place, maintain, and supervise all traffic control and devices. <br /> <br />:;. All private and all City properly sha1I be restored to Its original condition as far as practical in the opinion of the City Building Omcial. <br /> <br />./ <br /> <br />6, All underground crossing hutallations sball be laid at such depth as may be specified by the City Building Official <br /> <br />7. The sketch covering the details of this huta1lation shall be made a part of this permit. This permit is granted with the understanding that the <br />applicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage hlCurred by prior huta1lations as a <br />resultofhis operatiuns in order that they may safe guard their interests. <br /> <br />8. It is expressly stipulated that this permit is a license for permis.ive use only and that the placing uf facilities upon public property pursuant to this <br />permit shall not operate to create or to vest any property right In said holder. <br /> <br />9. Whenever the City decide. to further exploit the City Right. of Way, any or all .ald polell, wires, pipes, cables, or other facilities and <br />appurtenances authorized hereunder, shall be immediately removed from .aid Rights of Way, or reset or relocated thereon BI required by the City Building <br />Official at the expense of the holder of this permi.. <br /> <br />10. The holder shall.ave and keep the City harmless from any and all damages, claims, or injuries that lWly occur by reason of the constructiun, <br />maintenance, and operation of said facility. <br /> <br />11. The holder shall complete the requested work within J~ V days or this permit shall become null and void. In the event the work requested <br />is not completed upon the expiration date of this permit, the City .ball have the right to complete such work and to charge the holder of the permit for all costs <br />incurred in completing said work. <br /> <br />12. The holder shall post a cash or surety bond with the City Manager in -the .um of $ dollars to guarantee performance of the ubligations <br />herein, and to guarantee maintenance of the right-of-way described herein for a period of one (1) year following completion of the requested huta1latiOIL In the <br />event a surety bond is posted, the .urety bond sball be made payable to the City and sball obligate the surety to hold tJle City harmless in the event the holder of <br />this permit should fail to meet any of its obligations hereunder. The bond shaD aiso indellUlUY the City for all court costs and reBlonable attorney's fees in the <br />event legal action is required to collect on said bond. <br /> <br />13. The permittee shall have a 24 hour emergency contact name and number listed beiow. <br /> <br /> <br />SUBMITTED BY: <br /> <br />(permittee) <br /> <br />Phone <br /> <br />1?13 :. 7LfIJ-I.23/ <br /> <br />I. <J7p.(,i-,Gc7/,t?n FJTl~) <br />33bJ719 <br /> <br />Address <br /> <br />APPROVED BY: <br />CITY OF ZEPIlYRHILLS <br /> <br />Buil~ Officiaj <br />Date <br /> <br />Utilities Supervisor -?: ~ <br /> <br />;~~~~~~{~ <br />~*ger <br /> <br />~ <br />