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� _ _ <br /> C1TY OF ZEPHYRHILLS-B�IILDING DEPARTMENT <br /> DATE: Z—�S'( 3 RIGHT-OF-WAY USE PERMIT PERMIT# <br /> No tomtrueNoe ander grornd or�bovc ground of aoy fscility�hall be�eeomplisYed on�ny Ci�y Rig6ts of W ay without wrinen�pprov�l from the <br /> City Bailding Dcpvtment Aey�ppl{ealioo for approvd oteoestneMon opcntioes on�ay City owned Righb of W�y sh�ll furoish A de�riled dnwinR <br /> stiowing the complete�eope of the propoxd�vork ia trYplie�te ro the stfice of the Buildiog OfReial for�pprmil prior to the eommeneement of�ny work.,� <br /> eopy of this permit is fo be kept md(ly avaii�Me st tEt site of tAe work�t di Hmes <br /> PARCEL I.D.p�Various locations,reference the atlached shelter location IistC1TY ROAD 'Varbus bcabons,reterence tha aflached shelter bcation lisl <br /> nnre <br /> I.00ATION(Leg�l DescriFdon): <br /> PCPT Bus Shetters on 7th Sueet and US Hvry 301 <br /> 'Various locatia�s,reference the attached shelter location list. <br /> rermtes�oa i,nereDy gnnad�oTerry Fa&e or Pasco County Facilities Manapemem Department <br /> for the eoostruetio�and m�intenanee of- <br /> Concr�e pads with bus shetteB and sidewalks where indicated on Me cm�strudion plans <br /> _aubjett to the follow�i�conditions: <br /> I. TAe eonstructlon aed m�intenAnee o[mtY rNlity sAdl not inter&re with the property snd righh of e prior occup�nt. <br /> 2. Atl�vork shall bs dooe in keeping wit6 the shedirdf of tie City Street�Dep�rtmeat�nd undcr tbe supervi�ion o[Me Cily BuildinR Om�id,who <br /> will be notNled at kst one d�y prior to eommentemml of comfruclion. <br /> 3. All m�terids�nd equipment shdl be sobjeet to iropettion by tAe City Bailding Oflieid. <br /> I. Daring contfrueHon all sdety re6ulallons of t6e Dep�rlmeot of Tnntpartation sh�ll bt observed md tYe CiN shdl At relitved o/�II <br /> raponnibility trom dam�ge ot�ny natore�risiag from th6 permit.Subject to tde�ame terms aed tooditlone,the permit holdtr mry takc�uch eafety <br /> me�sure�,iocloding ptaeinE aod display of c�oNon signs,af it m�y deem nettfary in eondue[oi tonstruetion�nd m�intenxnee work M1ereander. It is fAe <br /> responaibility of the permittee ta???? <br /> S. All private and ail City proptrty ah�ll be rntored to its origiod condition u Lr�a pncfictl in the opin{on of the Ciry Building ORri�l. <br /> 6. Ali undergrouod crossing iesMllallom�h�ll be laid at srch depfh as m�y be specified by Ihe City Baildi�{Olfici�L <br /> 7. 7'he skefch eovedne tAe detafB ot tMb installition�hall be m�de a p�rt of this permit Th)s permit fs gnnted witb tAe�nderstrndiep fhnt fhc <br /> appliaet hu noNfied�11 other rtllity ufea in fhe�rea emered 6y the permit and taket fLll rtsponsiDility for rny d�m�gc incurred by prior irtst�llallons�v a <br /> result ot hi�opertliont in order thH Hey rtuy�a4 euard their ioterosls. <br /> 8. tt i�exprculy eNpulated that Mis permit is�lieense tor permuaive ux only�nd that Ihe placing af fecilities upon publie propertv punaxnt lo <br /> lhis permit s6a11 not operoh to create or to veat soy property rigAt in aaid balder. <br /> 9. WAnever t6e City deeides to Nrther esploit the Ciry Rightl of Way,�ny or all s�id poles,wircs,pipea,eabla,or oMer 6cilitice and <br /> �ppurtenanee��uthorized hereunder,sha0 bt immedi�tely rcmmed from uid Righb oi W�y,or rtaet or rclocated t6erton�i nquired by the<'ity Buildin� <br /> Official st the expenae of the holder o(this permlt. <br /> f0.The holder sMll five and keep the City harmlas from any and NI demaRa,tleim�,or injunes thal mxy oetur by rtaeoo of fhe eonslruction, <br /> maintensnce,aad opentiun of sald feelUty. <br /> 1l. The holder shall complete the requeated work within d�ys or tbb permit s6a11 betomt null and void.In tAe rvenf the work <br /> nquested is not compkted npon t6e expinKon d�te of fhis permit,the Ciry shail havt the riRM ro eomplete such work�nd fo eb�rge the holder of fhe permit <br /> for�II costf inwrrcd in completing said work <br /> 12.Tht 6older�hall po�t�afh or arrety bond w�It6 tht Cify MamAer in Ihe aum of S dollan to gu�rsntee pertormanee of Ihe <br /> obli`ationa hercin,�nd to goanntee maieten�nte of t6e rig6t-of-way deacHbed herein Tor�period of one(1)yewr following eompletfon otlhe requextcd <br /> installation.In the erent�surcty bond'u poated,the�arcty bond s6�11 be m�de p�pble to fAe City�nd ahall oDifgate tbe�unry ta Aold the('ily hrrmless in <br /> t6e evmt tAc holder of tAia permit should fail to meet��y of ib obtlpHons Yereunder.The bond ihrll dso indemnitr the City tor ill court costs�nJ <br /> re�eomble�ttorneyt Poes io the event legtl atttoe i�rcqdrod to tolietl on�aid bond. <br /> '�--►r"� <br /> BMlTTED BV <br /> (Permittee) <br /> erry e, ng r o xi i�es anagemen <br /> Signature&Tfllt paem f.nmhr FarJlifiac AMnaPamant ni�rfmont <br /> Addnaa�220 Osteen Rd.,New Port Richey,FL 34653 <br /> APPROVED BY: <br /> CITY OF ZEPHYRf11L1S <br /> Building Official <br /> D�te: <br /> UNlities Suptrvisor <br /> Date: <br /> PubllcWorks � V~� Oa-�LY� dT�R �4l���S �K� � <br /> o.�e: �"�oT 2,D.ct9. <br /> City Maea6er L"��—+ � <br /> Due: 0.�Z�-i� <br />