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� � CITY OF ZEPHYRHII,LS-BUILDING DEPARTMENT �j �y/� DATE: RIGHT-OF-WAY USE PERMIT PERMIT# `�J � No construclion under ground or above ground of any facility shall be accomplished on any City Rights of W$y without written approval from the City Building Depertment My application for approval of construction operations on any City owned Rights of Way shall furnish a detailed drawing showing the complete scope of the proposed work in triplicate to the office of the Building Oflicial for approvel prior to the commencement of eny work.A copy of this pernut is to be kept readily aveilable at the site of the work at all times. PARCEL I.D.# 03-26-21-0130-00000-0650 CITY ROAD Prado Lane DATE IACATION(I.ega!Description): See attached legal Permiasion is hereby graMed to BRIGHTHOUSE NETWORKS of 30432 SR-54 WESLEY CHAPEL, FL 33543 for the rnnshvction and meirrtenance of- Installation of new catv conduit 8�cabie within road riqht of way subject to the Folbwing conditions: 1. The construction and mainte�nce of suc6 utilily shall not iaterFere with the property and rights of a prior occupant 2. All work shall be do�re in keeping with the standards of the City Stn�cts Department and under the superviaion of the City Building Oflicial,who will be notified at Ieagt one day prior to rnmmencement of rnnatruction. 3. All materials and equipmeM shall be subject to inspection by the City Building Official. 4. During construction all safety regula6ona of the De�mrtment of Tra�reportallon shell 6e observed and lhe City shall be retieved of all responaibility firom danmge of any nature arising tiom tltis perntit Subject to the same terms and rnnditions,the permit holder may take such safety meeaures,including placing and display of caution si�s,as it may deem necessary in rnnduct of construction and maintenance work hereunder. It isv the responsibility of the permittee to???? 5. All private and all City properly shall be restored to ks origi�l rnndition as far as practicel in the opinion af t6e City Building OlTcial. 6. All underground crossing installations shail be laid at such depth as may be specified by the Ctity Building Official. 7. The sketch rnvering the details of this installation shall be made a part of this pern�iL This permit is granted with the understandi�that the applicant has noti8ed aU other utilily use�s in the erea covered by the permit and takes full responaibility for eny damage incurred by prior installatiom as a resuk of his operations in order that t6ey may safe guard their interests. 8. It is expressly stipulated that this permit is a license for permisaive use only end that the placing of facilities upon public prope�ty pursuant to this permit shell not operate to create or to vest any property rig6t in said holder. 9. Whenever die City decides to further ezpbit!he City Rights of Way,any or all seid poles,wires,pipes,cables,or other facilities and appurte�nces authorized hereunder,shall be immediately removed from said Reghfs of Way,or reset or relocated thereon as required by the City Building Official at the eapense of the Irolder of this pemtit lU. The holder ahall save and keep the City harudess from eny and all damages,claims,or injuries t6at may oc�cur by reason of the construction, maiMenance,and operation of said facility. 11. The holder shell complete the requested work within days or this permit shell become oull end wid.In the event the work requeated is not rnmpleted upon the eapiration date of this permit,the City shall heve t6c right to coroplete suc6 work amF to cherge ihe holder of the permit for all costs i�urred in completing said work. 12. The holder shall post a cash or sw�ety bond with the City Manager in the sum of$ dollars to guarantee perfor�nance of the obGgations herein,and to guarantee maintenance of t6e rigM-0f-way described herein for a period otone(1)year Pollowing compleHon of the requested inatallation.In ifie event a aurety bond ia poated,the s�ety bond simll be made payable to the City and shall obligate the surety to hdd the City harmless in the event the holder of this permit ahould feil to meet sny of its obligatio�hereunder.The bond ahall also mdemnify the City for ell court costs and reasonable attor�ys fees in the event kgel action is req�rired to collect on said bond SUBMI'I"I'ED BY: (rermittee) �iR �� '.�Q�`c/� 2� Signature&Tide j I� ��n��-.�� Add1'C9gy�L.2�.� �� / !,V�s r'�y CY[C��/, FL ..��3-� 7 J APPROVED BY: CITY OF ZEPHYRHILLS Building OfTicial Date• Utilities Supervisor Date: Public Works ��PI� (�NO OPE�) CJ'($`r Date: City Manager Date•