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� �UZ � ��-��-�'� CITY OF ZEPHYRHII,LS - BUiLDINGDEPARTMENT , , ,.� �� DATE: 4/14l2011 RIGHT-OF-WAY USE PE�RMIT PERMTIY� ( �� No consfiuUon ander �ro�md or above �ound of any facility shalt be �ccompdshed on �ny Gliy Rl�dfs at Wry wlthout wrltten appmval Imm the pty BultdinE Depertment. Any �filcatlon for ApprovAi ot oonaUvcUon eperaUona on any Clty otimed RiQhts of Wqq shstl lhrnlah a deta0ed drawing showing the complete acape of the proposed wark Jn trlpllcate to U�e ortice of the Bnilding 011tda1 for approral prlor W the commenament of my work. A copy of thls permlt Is to be kept nadity aval�aWe at the slk of the work at all dmes. PARCfiL I.D. # CITY ROAD GRffi�I SLOPE DR DATE LOCATION jixga! DescrlpUon) : On Grcen Slone Dr.. 78' 3outh of the dl �Me�ca� ,� Ct. Permisslon Is hereby granted !o Verizon ofFiorida. LLC of 1909 US HWY 301 North BlA¢. D. Tamoa. FL 33619 for the rnnstructlon fnd malnknaace ot - 48' of {] j 1.5" FIDPfi W/FOC AND (11 LT'x30" hanc�ole subJcet to the foilowing caulttlona: � 1.17k constrnctlott and meintenance o[ sucd utlltty ahail not mtertere wlth ihe property and rl�hts of a prlor occupnnf. ! 2. Al! work shall be done 1n keepin� wlth the stsndarc� ot tAe City Streets Departmeat iwd under the supervlsion of the Clty � BuUding OlRclal, who wlli be aodlfed �t least one day prbr W comm�cement of conatructloa. { 3. All materiNS �nd eqWpment shAll be subJect to inspectlon by the ply BulldinQ 011tdai. I A. Durine wnstntcUon alt s�fety t+eEulaUons of fhe Department of Transportatlon ihW be observed and the GYty ahall be � relleved of aU respondblllty from dams�e M any nature arldn� lrom this permiL SubJect to the same terms and conditlons, the parmlt holder m�y take sltch saltety dceasures, U�cludtng pladnQ and d[:play ot cauUan si$na, ws !t may deem necessary 1n cwnduct ot rnnatrucUon aad m�lntenance work hereunder. It Is fhe resppnsibfilty ot tLe permittee to 4??? � s. Aa }�Ivnta �nd ali CYty properiy abaU be restored to its orlQlnai rnndfUon as tar is practical in the opinion of fhe Clty � Eoeamf omc�at. 6. All underQrouad crossln� Instaliatlons shfil be lafd �t sucu depth as mey be apeclded by the Clty BWWIn� O(IicJal. � 7. The akefcfi covetinQ the detaps of Uds IosW IaUon shslt be made a psrt of Oila permit. This permft is Qranted wlfh the � unders(andlne that ihe �ppltcant hu notltted �ll ather utlllty users in the area �vend 1�y the pvmtt and takes full nspondbWty tor any damue incurred by prbr Installatlona aa a reautt of Ms opetaHons in order thet they may aefe euard lheirinterests. 8. It Is eupressly sUpulated that fhls permft is a license for permisatve use aJy end fhat the pladn� a[ txcWUes upon ppbllc property purwant to thfa permlt ��D aot oparate to creatc or to reat a� pra�ertq rleht In said holder. ( 9. Whenever the C[ty decWea to IUrther e�t the City wehts ot vY�y, ony or au satd P�s, �s, P4xs, cablea, or other � facltlUes md �ppartenanas aathorlmed hereunder, sMll be ImmedlAtely removed ham ssulid R�hts of 1Vay, or reset or relocated thueon xs reqWred by U�e Qty BuildlnE Ofltciel U lhe e=pense of fhe hdder of fLts permit ! 10. The dolder sh W save atKl keep the Gtty harmiess iMm any and all damaQes, dafms, or in�urks that mry occur by reason oi the ooastrucllon, malntenenoe, urd �eraLLoa oI add IacWWty. il. The laider ahW complete t6e requested wa�k w1Wa daya or thts permit shall become null and void. in the � c� ent the nork reguested is not completed �on tl�e +xplratlon d�te of iWs permlt, the pty ahell have the rl=ht W complete � such work aad to chrr�e the �older of the permlt tor all coats lncnrred In oompletln� sald work. 12. The holder shall post e c�sh or s�ety bond with the Clty Mans`et �► fhe wm of S dollrrs to eusrrntee ; performaace of the obliQatia�s hereln, and to QuArantce matntenence o[ the rl=Lt-of-way descrl6al hereln for a perlod ot one { (1) year [ollowlnQ cawpletton ot Un requeshd instWslbn. In tAe eve�N � surety bond is postcd, the surety bond shali be made i paye6te to the City and s6att �Ate ttie aorety to Add the City harmiess ln tke event the holda� ot this permit shouid fail to ; mat any of its obllQatlons hereunder. ?he bond shall tlso Indemntfy the C',I court costa �nd n�aon e attorneys fees � in the event le�al actla� Is rcqnlred to coliect on sald bmid. � SUBMITTED BY: # �SiEneture dk Tlfle . i Address 1909 I1S H1VY 301 Nazth. Bld� D• Tartna. FL 33619 ` g��j �� —`� �� APPROVED BY: TY OF ZEPHYRHILLS B Ing O 1 � � u es pervlsor , t�-- r Date' � Publlc �Vorks na�e: — i�No oP�xt C�ts" — ; C.1ty r Dete: — � 1 i i � , ! I I i {