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e <br /> z . a . LiG 6/ <br /> CITY OF ZEPHYRHILLS— BUILDING DEPARTMENT 423 7PF4oPi/ J <br /> ' ( - <br /> RIGHT -OF -WAY USE PERMIT �� <br /> I <br /> DATE: PERMIT #: 6 . � <br /> No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the Ctty Building <br /> Department. My application for approval of construction operations on any City owned Rights of Way shall furnish a detailed drawing showing the complete <br /> scope of the proposed work In 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 <br /> kept readily available at the site of the work at all times. <br /> CITY ROAD t A ✓E <br /> PARCEL ID #: <br /> LOCATION (Legal Description); <br /> C 'AtfF Lt417)A5 !72 , i LAwkNDA <br /> • <br /> • <br /> Permission is hereby granted to Y'E .iZvt4 of FLC !Mt, ALL., <br /> For the construction and maintenance of: // <br /> PLtkLEMV 0 1.25 �IDPE BVUiR tataAL 'Roe F fre6 TD FLtLti i 1ii <br /> I JgsrA LLA n&J er e c.. <br /> Subject to the following conditions: - <br /> 1. The construction and maintenance of such utility shall not Interfere with the property and rights of a prior occupant. <br /> 2, All work shall be done in keeping with the standards of the City Streets Department and under the supervision of the Ctty Building Official, who <br /> will be notified at least one day prior to commencement of construction. <br /> 3. All materials and equipment shall be subject to Inspection by the City Building Official. <br /> 4. During construction all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all responsibility <br /> from damage of any nature arising from this permit Subject.tb the same terms and conditions, the permit holder may take such safety measures, <br /> including placing and display of caution signs, as 11 may deem necessary in conduct of construction and maintenance work hereunder. It is the <br /> responsibility of the permlttee to ?7 ?7 <br /> 5. All private and all City property shall be restored to its original condition as far as practical In the opinion of the City Building Official. <br /> 6. All underground crossing Installations shall betaid at such depth as may be specified by the City Building Official. <br /> 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 <br /> applicant has notified all other utility users In the area covered by the permit and takes full responsibility for any damage incurred by prior <br /> installations as a result of his operations in order that they may safe guard their Interests. <br /> 8. 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 <br /> permit shall not operate to create or to vest any property fight in said holder. <br /> 9. Whenever the City decides to further exploit the Ctty Rights of Way, any or all said poles, wires, pipes, cables, or other fadlltles and <br /> appurtenances authorized hereunder, shall be immediately removed from sald Rights of Way, or reset or relocated thereon as required by the <br /> City Building Official at the expense of the holder of this permit <br /> 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, <br /> maintenance, and operation of said facility. <br /> 11. The holder shall complete the requested work within days or this permit shall become null and void. In the event the work requested is <br /> not completed upon the expiration date of this permit, the City shall have the right to complete such work and to charge the holder of the permit <br /> for all costs Incurred in completed said work. <br /> 12. The holder shall post a cash or surety bond with the City Manager In the sum of $ dollars to guarantee performance of the it <br /> obligations herein, and to guarantee maintenance of the right-of-way described herein for a period of one (1) year following completion of the <br /> requested installation. In the event a surety bond Is posted, the surety bond shall be made payable to the City and shall obligate the surety to <br /> hold the City harmless in the event the holder of this permit should fall to meet any of its obligations hereunder. The bond shall also indemnify <br /> the City for all court costs and reasonable attorneys fees In the event legal action is required to collect on said bond. <br /> SUBMITTED BY: - • L <br /> f G <br /> /� { <br /> (PERMITTEE) f 1P2tL E��tH LS�. � f�tZ <br /> a • . <br /> . Signature & Title £ f / - <br /> Address ro l US N 3D1 1 MIA. . b 1Ar`l1PA,Ft_. 33 4l9• <br /> REVIEWED BY: <br /> CITY OF ZEPHYRHILtS <br /> Utilities Supervisor Date <br /> Pub lic Works Date. I <br /> p 1 1 -ei r ` it i41 <br /> . •01)(PA , <br />