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<br />.)0 <br /> <br />, .iT "\.;. <br />"MAI'L',..: , <br />PASCO COUNTY DEVELOPMENT REVIEW <br />WEST PASCO GOVT. CENTER S-230 <br />7530 LITTLE ROAD <br />NEW PORT RICHEY. FL 34654 <br />(727) 847-8142 <br />(352) 521-5144 <br />No construction, under ground or above ground. 01 any facility. shall be accomplished on any County Rights of Way wlthoutwrilten approvallrom <br />1he County, Any application for approval of construcllon operations on any County owned Rights of Way shall furnish a detailed drawing showing the <br />complele scope of the proposed work in quadruplicate to the County for review and approval prior to the commenCement of any work". A copy of this <br />permil must be kept reldlly IVllllbl. It the .It. of the wortc It III tlm.., <br />Sec No, :=: 3 T 2:.> R;'l E' County ROld Ei.1 c.:~,jj(; 8.L ",r.:' . <br /> <br />" RIGHT.OF.WAY USE PERMIH <br />PAscOtCbUNTY <br />. USE PERMIT. <br /> <br />..""'"" "-4 / r . "';;\~ <br />.,......./ 1//" "', l .' <br />~- '\....i\-'-'" .../ ./ <br /> <br />GENERAL IN~TRUCTIONS <br /> <br />"Sunshine-One Call" <br />(800) 432-4nO <br />. 48 hours prior to excavation. <br /> <br />Olte <br /> <br />1 ..-1 ()_..U~ <br /> <br />Permll For ~-~h~:I,~;;'-;')i...':,,' L(:\~'.'.:~:' j\!:)al..tr:~f'.'~'\'(f): <br /> <br />r:.u ,:JliJ hI vd" L~ ~lJ j 131'1..:.9. <br />(Project Name) <br /> <br />LOCA TION (Legal Description) SOl,) A'Ctdchiil~:)n~ \, 1\" <br /> <br />. ..' ,-, ...~. . <br /> <br />,. .'....~~.... ~ ,...., .' <br /> <br />PermiSSion IS herebygranled 'to _:-:?l~ L.\ ,~t:: <br /> <br />I ~ if7. <br /> <br />:r: "'... ,,,~.,.~ <br />1 .... ,','... ....j <br />(Name of Permittee) <br />Cele::).(",!!tt ion I I <br /> <br />347~n <br /> <br />for Ine construction and maintenance of <br /> <br />of )(,~, C,="lebnn.ir::lij,:'1.ac0, SuitE:: SOD, <br />--- (Address of Permittee) <br />':::C'I...;t:..t;'t,lct,ion r:,!: <br />. (DesC'riptionOfW~k).-'-- <br /> <br />:dS!nt turn l,:.m.~,':u)d li:ft turn .etripin'';ll from l7:ili:llld B1 vd. to <br /> <br />1>~t~~.~,:~}cJ3.~i .~_.____ <br /> <br />~ <br /> <br />sub/ecl 10 the following condItions <br /> <br />, The construction and maintenance of such utility shall not interfere with the property and rignts of a prior occupant. <br /> <br />2 All work shall be done in keeping wilh the standards of Pasco Counly and althe salisfaction of Pasco County. who will be notified at least <br />onE' day prior to commencement of construction, <br /> <br />3 All materials and equipment shall be subject to inspection by Pasco County. <br /> <br />4. DUflng construction all safety regulations of the Florida Depa'nment of Transportation shall be observed: and Pasco County shall be relieved <br />of all responsibility from damage of any nature arising ,from this permit. Subject to the same terms and conditions. the permit holder may take such <br />safety measures incluping plaCing and display of caution signs, as it may deem necessary in conduct of construction and maintenance work hereunder, <br /> <br />5, All pflvate and all Pasco County property shall be restored to its original condition as rar as practical. in the opinion of Pasco County. <br /> <br />6 All underground crossing Installations shall be laid at such depth as may be specified by Pasco County, unless otherwise authorized, Instllll. <br />tion of utilities under County road. shill be by jlcklng and boring only. .! . <br />, '\ <br />7, The sketch (four copies) covering the details of this installation shall be made a pa.rt of their permi~ This permit is granted with the understanding <br />thai the applicant has nOllfied all other utility users in the area covered by the perm,it and takes full r~ponsibility for any damage incurred by prior <br />Installations as a result of his operations. He also takes full responsibility for notifying any and all utilityorfunderground users of his proposed operallons <br />In order that they may safeguard their interests. . <br /> <br />,'l~ <br /> <br />\'. . " .' <br />8 II IS expressly stipulated that this permit IS a license for permlssille~use Only and that the placing of ifacilities upon public property pursuant <br />to this permit shall not operate to create or to vest any property right in said hofqer, <br /> <br />9 Whenever Pasco County decides to further exploit the County Rights of Way, any or all of said poles, wires. pipes, cables or other facilities <br />and appurtenances authorized hereunder. shall be immediately removed from said Rights of Way, or reset or relocated thereon as required by Pasco <br />County al the expense of the holder olthis permi!, · <br /> <br />10. The holder ~hall 'save and keep Pasco County harmless from any and all damages, claims, or injuries that may occur by reason of the construe. <br />tlon, maintenance and operation ot said facility, <br /> <br />11 Thp. hOlder';'!tt'lt,', complele the requested work within 30/60/90(i"~O da~,;)or this permit shall become null and void. In the event the work reo <br />quested IS not completed upon the expiration date of this permit. Pas~o:Counfy shall have the right to complete such work and to charge the holder <br />Of 1he permit for all costs incurred in completing said work. <br /> <br />12 The permittee shall post a cash or surety performancegulrantee with the County Clerk, Based on a cost estimate prepared by the permittee's <br />englno'~r and approved by the County, The amount of the guarantee is to be an amount equal to 125010 of the cost to construct the permitted improvements, <br />In t~le r.venl a surety bond IS posted, the said surety bond shall be made payable to Pasco County and shall obligate the surety to hold the County <br />harmle~s In the evenl the holder of this permit should rail to meet any of its obligations. hereunder, The bond shall also indemnify Pasco County for <br />all court costs and reasonable attorneys fees in the event legal action IS required to collect on said bond, <br /> <br />13 n,e permittee shall post a cash or surety maintenance guarlntee with the County Clerk based on a cost estimate prepared by the permittee's <br />engineer and approved by the County, The amoung of the guarantee is to be an amounl aquallo 150Al of the cost to construct the permitted improveml!nts. <br />In the nvent a surety bond is posted it shall meet all the criteria stated in No, 12 above, <br /> <br />14 SPECIAL CONDITIONS <br /> <br />APPROVED BY .. <br />I j "', ...,.)....' <br />Utilities Services:/1,/(1 It. <br />TraHic Review: <br /> <br />:)<,,;1"1, I' :"./1'\ (~ .: :;. ; 'L ',.', <br /><~:,. ,',:"; t:v'~I,./.'.; { ,S....T?\ i' ',,').., '\/. :' / <br /> <br />,_ I ,," <br />....'~ "l.(,){/;V) .~\ /.- AI i.t:{ i.: 1--' ~..'::~i; "1' <br /> <br />'/ ' <br /> <br />c <br /> <br />~"~mnwm- <br />. WlRf8UT ~OUNTY fNGJN~ER APPROVAL <br />dAe, & BOflf ONLY . <br /> <br />Project Management: <br />,;::: II' <br />Permits & Inspection: <br />........,'....\ <br /> <br />), <br /> <br />SUBMITTED BY: <br /> <br />Signature <br /> <br />l~. /~) I <br /> <br />'I') .",. 1 1.\ <br />: . I' (.(. 'L-~) <br />',',' ~)-' <br />, . , \ \. \-'\ " ,} ,I' . "J.' .))-,." " <br />, .,1 ~ ~ i " <br /> <br />./ . '-I <br />J ) +- <br /> <br />Public Wor~s: _,~"().,.; L. <br />,"" , i; I., <;'1' <br />G'~iiHa'~tee';~'s\f(~ale"R~.ji~W:r;,. \ r....('.n Ii..' d"} "i::.rJi l/J).>:.. <br />. ./~ <br /> <br />Development Review Approved: <br />., ) <br />/'" ." .. 1/ <br />. :_~ .1../ ~ <br /> <br />"'}""'/ <br /> <br />i <br /> <br />... <br /> <br />;,:r.:id L: .1, Hog", l:.':~i, P. !:;. r A9an t <br />Print Name and Tille <br />i . (j To(;/,~on H09tV' -- !:' ,1 '.n'jeri,,'~' II; ,.:.. <br />" I / 5::>1"" 7t.h ;:;tn~8-tl .C ;')h..rrhiJ1~Ji, t'L <br />Mailing Address (Streel, City. Slale) <br /> <br />(liJ.J) 78,1.,O.1CU <br /> <br />Tel,sphone Number (Include Area Code) <br /> <br />33:)..cQ <br /> <br />Fee $ <br /> <br />Pa'd <br /> <br />, -'--":> <br />r I - <br /> <br />__....,,,1 <br /> <br />PC93043031/E <br /> <br />NOTE: SUBMIT 4 COPIES OF SITE PLAN WITH THIS PERMIT <br />