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CITY OF ZEPHYRHILLS-BUILDING DEPARTMENT ] i��J3 DATE: RIGHT-OF-WAY USE PERMIT PERMIT# / � �'' I � � No construction underground or above ground of any facility shall be accomplished on any City Rights of Way without written approval Gom the City Building Department.Any application for approval of construction operations on any City owned Rig6[s of Way shall Pornish n de[siled drawing showing the wmpiete scape of the proposed work in triplicate to the omce of Ihe Building O�cial for approval prior to[he commencement of any work.A wpy of this permit is to be kept readily available at[he site of the work at all times. PARCEL LD.# CITY ROAD Appieqate Drive DATE LOCATION(Legal Description) : Appleaate Drive apprax. 150'noRh of Alqha Avenue Permission is hereby grnnted to_BRIGHTHOUSE NE7�/VORKS o� 30432 SR-54 WESLEY CHAPEL. FL 33543 for[he con5truction and maintenance of- Installation of new catv conduit&cable crossinq road riqht of wav _subjecl to the following conditions: 1. The construction and maintenance of such utility shall not interfere with the property and rights of a prior occupant. 2. All work s6a11 be done in keeping with the standards of the City Streets Department and under 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 cons[ruc[ion all safery regulations of the Departmenl of Transportation shall be observed and the City shall be relieved of all responsibility from damage of any na[ure arising from this permit.Subject to the same terms and canditions,[he permit holder may take such satety measures,including plating and display of caution signs,as it may deem necessary in conduct of construction and maintenance work hereunder It is the responsibility of[he permittce to???? 5. Ail private and all City properly shall be res[ored to its original condition as far as prattical in[he opinion of the City Building Omciai. 6. All underground crossing installations shall be laid a[such depth as may be specified by the City Building O�cial. 7 The sketch covering the details of this installation shall be made a part of this permiL This permit is granted with the understanding[hat the applicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage incurred by prior installations as a result of his operations in order that[hey may sa(e guard Iheir interests. S. It is expressly stipulaled tha[[his permit is A license for permissivt use only and tha![he placing of fxcilities upon public property pursuant[o this permit shall no[opera�e to crea[e or lo val any property righl in said holder 9. Whenever the City decides to further exploit the City Rights of Way,any or all said poks,wires,pipes,cables,or other facilities and appurtenances authorized hereunder,shnll be immediately removed trom said Rights of Way,or reset or relocated[hereon as required by[he City Building Omcial�[the expense of the holder of this permit. l0. Tht holder shall save and keep[he City harmless from any and all damages,claims,or injuries that may occur by reason of the construction, main[enance, and operation of said facility 11. The holder shall complete[he requested work within days or this permit shall become null and void.In the event the work requested is not compkted upon the expiration date of this permit,the City shall have the right to complete auch work and to charge the holder of the permit for all cosb incurred in completing said work. 12. The holder shall post a cash or surety bond with lhe City Manager in t6e sum of$ dollars to guarantee performance of the obligations herein,and to guarentee maintenance of the right-of-way described hertin Por a period of one(1)year Pollowing completion of the requested installatioa In the event a surety bond is posted,[he surety bond shall be made payable to the City and shall obligate the surety ro hold the City harmless in the evmt the holder of this permit should fail to mcet any of i[s obligations hereundee The bond shall also indemnify the City for nll court tosts and reasonable attomey's fees in the event legal action is required to colket on said bond. SOg ITTED BY: // (Permittee) � �� C �I �L�t /"} Signa[ure&TiHe [C �� Address ��iL .Jr �✓jj /vGJ/(. `RI�PF.1 J ��/ C�r3) ��- v�'� a C�is) �'�z� c�s�a� ��-E- ��z� APPROVED BY:CITY OF ZEPHYRHILLS Building Official Date: Utilities Supervisor Dnte: Public W ks ,/w v/�ni C�,{^ Dnte: City Manager Date: