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. CITY OF ZEPHYRHILLS-BUILDING DEPARTMENT ��-,� DATE: RIGHT-OF-WAY USE PERMIT PERMIT# No construction under ground or above ground of any facility shail be accomplished on any City Ri�ghts of Way wit6out written approval from the City Building Department Aay spplication tor approval ot rnostraction operations on any City owned Rig6t4 of WAy shall furnish a defailed drawing showing t6e rnmplete scope of the proposed work in triplicate to t6e office of the Building OfMicial for approval prior to the commencemeot of any work A copy ot this permit is to be kept readily availabk at t6e site of the work at all times. PARCEL I.D.# CITY ROAD 7th Avenue DATE LocaTCON�[.�ei n��ptioo�: 7th Avenue approx. 156feet west of 6th street Permission is hereby graoted to BRIGHTHOUSE NETWORKS of 30432 SR-54 WESLEY CHAPEL, FL 33543 for the construction aod maintenaoce of- Installation of new catv conduit&cable crossinq road riqht of wav _subject to the[ollowing conditions: 1. The rnnstruction and maiutenance of sach utiiity shall not interfere with the property and rights of a prior occupnnt. 2. All work s6ai1 be done in keepiog wit6 the standards of the City Streetc Department and under the supervision of the City Building Official,who wili be notified at least one day prior to rnmmencement of construction. 3. All materials and equipment shAil be subject to inspecHon by t6e City Building OfficiaL 4. During rnnstructan all safety regulations of the Department of Transportatan shall be observed and the(:ity shall be relieved of all responsibility from damage of any oature arising from this permit Subject to the snme terms and cooditions,the permit 6older may take suc6 safety measures,including placing and display of caation signs,as it may deem necesvary in conduM of coostruction and maintenance work hereunder. It is the responsibility of tLe permittee to???? 5. All private and all City prnperly s6a11 be restored to its orlgloal condition ns far as proctical in t6e opinion o[t6e City Bailding OiBciai. 6. All underground crossiag iestalletions shall be laid at suc6 depth as may be specified by the City Building qfficiaL 7. T6e sketc6 rnvering the details of this installation shall be made a part of this permit.This permit is grsnted with t6e uoderstanding that t6e applicant 6as notified alI other utility users io the area covered by t6e permit and Wkes fnll responsibility for aoy damage incurred by prior instailations as p result of his operations in order t6at they may sefe gnard t6eir interests. S. It is eapressly stipnlsted that this permit e s license for permissive use only and t6at t6e placing of facilities apon public property pursaant to this permit shall not operate to create or to vest any property right in said 6older. 9. W henever the City decides to further ezpbit the City Righls of Way,any or all said poles,wires,pipes,cables,or other[acilities and appartenances aathorized hereunder,shall be immediately nmoved from said Righis o[Way,or reset or relot�yted therenn as required by the City Building Ofticial at the eapense of t6e holder of this permit 10. The holder shall seve aod keep the City harmless trom any and all damages,claims,or injnries that may axur by reason of the construction, maintenaoce,aod operstion of said facility. 1 L T6e holder shall complete the requested work within days or this permit shall become oull and void.In t6e event the work requested is not completed upon the e=piration date of this permit,the City shali have the right to coroplete such work and to charge t6e holder of t6e permit for all rnsts incurred in completing snid work 12. The holder shall post a cASh or surety bond wit6 the City Manager in the sam of S dollars to guarantce per[ormaoce of the obiigatious 6erein,and to guarantee maintenance of the rig6t-0t way described herein[or a perlod of one(1)yexr following rnmpletion of the requested installaHon.In the event a surety bond is posted,the snrety bond shall be made pAyable to the City and shall obligate the sarety to hold the City 6armless in the event t6e holder of this permit should tail to meet sny of its obligations 6ereunder.The bond s6a11 also indemnl[y the City for all court rnsts and reasonable attomeys fees ln the event legal actioo is reqaired to rnllect oo seid bond. SUBMITTED BY: (Permittee)�O��S � I L i Signature&Title � /�� /� Address J� ��/ ��/Fi (.��/� C ��J APPROVED BY: CTI'Y OF ZEPAYRHILIS Bailding Official � � Datc• �— UtiliHes Sape isor Date: ('i 2 �Pablicworks ��NO O��7CS�� Date:_ Z -�- � City Manager Date: