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. 3L0 3 APE \bPL • • • CITY OF ZEPHYRBIL•T S - BUILDING DEPARTMENT 3/31/10 I F I I J DATE: RIGHT -OF -WAY USE PERMIT PERYH No construction under ground or above ground of any facility shall be accomplished on any City Digits of without written approval from the City Building Department. Any application for approval of construction operations on any City owned Buts of Way shall furnish a detailed drawing showing the complete scope of the proposed workin tripiioate to the office of the Build OQicial for approval prior to the commencement of any work A copy of this permit is to be kept readily available at the site of thework at all times. PAltrzL LD. # - CITY ROAD DATE LOCATION (Legal Description) : Laurel Hammock Dr & Highland Lp Permission is hereby granted to Verizon of Florida LLC for the construction and maintenance of 3,548' of 1 1/4" HDPE w( FOC & (1) 36 "x36 "x36 ", (12) 17" x 30 ", (8) 11 "x11 "x16 ", (1) 16 "x20" Hand Holes by directional bore. To Facilitate the installation. subject to the following conditions: 1. The construction and maintenance of such utility ehnll not interfere with tie property and rights of a prior occupant 2. All work shall be done in keeping with the standards of the City Sheets Department and order the supervision of the City Building Official, who will be notified 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 all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of 4 responsibility from damage of any nature arising from this permit Subject to the same terms end conditions, the permit bolder may tal such safety measures, including placing and display of caution signs, ae it may deem necessary in conduct of construction and maintenanceworkbrreunder. It is the rnponsrisility of the permittce to place, m+b and supervise all traffic central and devices 5. All private and all City properly shall be restored to Its original condition as far as practical in the opinion of the: City Building Official. 6. All underground crossing installations shall be l at suds depth as may be sprrifird by the City Building OUldaJ. 7. The sketch covering the details of this installation shall be made a part of this permit. This permit is granted with the understanding that the applicant has notified all other utility users in thearracovered by the penult' and lakes full responsibility for any damage incurred by prior installations as a result of his operations in order that they may safe guard their interests. S. It is expressly stipulated that this permit is a license for permissive use only and that the placing of facilities upon public property pursuant to this permit shall not operate to create or to vest any property right in said holder. 9. Whenever the City derides to further exploit the City3iigkte of Way, any or all said poles, wires, pipes, cables, or other faeilities and appurtenances authorized hereunder, shall o immediately removed from said Riglda of Way, or reset or relocated thereon as required by the City Building Official at the expense of the folder of this permit • • 10. The balder 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 said facility. 1L The holder shall complete the requested work within days or this permit shall become mull and volt. In the event the work requested h not completed upon the expiration date of this permit, the City shall have the right to complete such work and to charge the ladder of the permitfor all casts incursedin completing said work. 12. The balder shall pmt a rasher surety bond with the City Manager in'tlw sum of S dollars le guarantee perfonea of the obligations herein, and to guarantee maintenance (Atha right-of -way described heroin for a of one (1) year following completion of the requested installation. In the event a surety bondis posted, the surety bond shall be made payable to the City and shall obligate the surety to hold the City harmless in Sreeveot the holder of this permit should full to meet any of its obligations hereunder. The bond shall also indemnify the City for all court costs and reasonable attorney's fees hi the event legal action's required to collect an said bond. 13. The permittee shall have a 24 hour emergency contact name and number listed below. SUBMITTED BY: (Pormittee) KevinnShea Signature &Title �C..C,/�{ / ✓eCC'�/ /��E�``�' Address 1909 US Hwy 301 N. Bldg D, MC:FLG2 -0652 Tampa, F1 33619 w_1 c 1 t L by Phone 813- 892 -9687 QTY Olt ZEPI YRBILIS Building O . Date Zhilitics Supervb Date: V • /� w �( Public Works ZAP 2.G�f- /�IQI� Dale: (( • City Date: r ` �