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, 3[oz3.3ArAcbC Y <br /> CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT RO D <br /> RIGHT-OF-WAY USE PERMIT '6 t 1 ifsz ib <br /> DATE; <br /> PERMIT #: 1 1 e <br /> ....... <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 City complete <br /> D epartment. Any application for approval of construction operations on any City owned Rights of Way shall furnish a detailed drawing showing the <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 /> PARCEL Ip #: CITY ROAD <br /> • <br /> LOCATION (Legal Description): - <br /> . <br /> Permission is hereby granted to Vart..a.1 aF FLC+etoA . LL C.- of 19nct cis iii.)/ 301 NI. RI ni fl MCI fLt0Z- tcr,52 <br /> For the construction and maintenance of: TAMPA i FL. 33to 19 <br /> 1.7_" MOPE ∎J►fx -. 14n30 H (+NBikar — ES 71 nt ELL' :Tton.tA Bb2E ' TRx.r.ac..HttiC= <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 City 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 Otfidal. <br /> 4. During construction all safety reguiatlons 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.t 5 the same terns and conditions, the permit holder may take such safety measures, <br /> including placing and display of caution signs. as It may deem necessary in conduct of construction and maintenance work hereunder. It is the <br /> responsibility of the permittee to ???? <br /> 5. AU 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 be laid at such deptas a p rtbef specified pe by the City pit emtding Official t� th the understanding that the <br /> 7. The sketch covering details of this Installation } <br /> applicant has s notified permit all other utility users In the area covered by the per 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. P pursuant to this <br /> 8. It is expressly stipulated that this permit is a license for permissive use only P property and that the lacing of facilities upon public pro p <br /> permit shall not operate to create or to vest any property right In said holder. <br /> 9. Whenever the City derides to further exploit the City Rights of Way, any or all saki poles, wires, pipes, cables, or other facilities and <br /> appurtenances authorized hereunder, shall be immediately removed from said 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 /> The holder shall post a cash or surety bond with the City Manager in the sum of $ dollars to guarantee performance of the <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 shalt 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: - <br /> i <br /> (PERMITTEE) KE.vt S1IEA2c,,,tsE, - <br /> Signature & Title .t . •5 }- - • `,tt //�.o <br /> Address Nog cos ilci,r Sot #3 At& 0 MC.-: Ft—Ca... ncp6Z. <br /> TArfaA, FL.. 33[ola <br /> REVIEWED BY <br /> ," CITY OF ZEPHYRHiLLS <br /> �/ - <br /> Utilities Supervisor — - ` - Date '7/ 7/1 <br /> Public Works <br /> ,....wiii?,„„iir,zaig—______ . <br /> Date. ll't)L- -I.0 } <br /> " rJ o oPot co " <br /> . <br />