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DATE• [D�� !��`3 C�T�'OF ZEPHYRI3II,LS-BUILDING DEPARTMENT <br /> RIGHT-OF-WAY USE PERMIT pERNIIT# � <br /> Pio consq'uction under�rouod or a6ove g�ouod of�y facility a6a11 6e accomplis6ed on ao C <br /> City Building Depardnent AnY aPP���for a 5 ih�hta of Wa�without written approvai from the <br /> PP��af cooahnction opernliooa ao nn C owned <br /> ahowing the complete scope ofthe proPo�n1 werk io y � �61s otWa'ah�ll fYe�deh a detailed drawing <br /> rn of thia �to the office of the Buildin�Oflicial for aPP"w�Pr'�'�the co�m�encement of any work A <br /> Py Pertnit�to 6e kePt re�di�7 available at the sih ot tl�e waic�all timea <br /> PARCEL I.D.# ��-2s-2�-om o-o�ooQOOi� c��Roan 7th Street <br /> DATE <br /> I.00ATION(I,e�e1 De�aiPtion�: <br /> See attacFied legal description <br /> Permiseion is hereby Sranted to BRIGHTHOUSE NETYH�ORKS of 30432 SR-54 VVESLEY CHAPEL, FL 33543 <br /> tor the rn�hvctioo��M�o9�of- <br /> Installation of new catv conduit�cable within road ri ht of wa <br /> _su6ject to the tolbwing conditioro, <br /> 1. The construction md mo0tenance of sur6 utility sMdl oot iotMere wjth t6e proPer�Y s�r�hts of a prior occuprot <br /> 2. All work alwO be done in kecpig wifh the staodards of t6e City ShsNs <br /> wlll be notified st kASt one day prior to co�meot of construefioo, �P°�'�°�O�aod aoder t6e sopervision of t6e Cily Buildmg ppj���w6o <br /> 3. All materials nnd equipment shaH be aubjeet to iagpectioo 6y tl�e City Buildi�g Oflecial. <br /> 4. During coae�ruction aB safety re�ott�Deprrtment otTraos <br /> respooaibibty fiom damrge of a�ry oriure ar�biog L+om tlsa pe�mit Subjeet to ihe same teran aed condltio�,��tlrc City shall 6e rolieved of all <br /> measures,ineluding p���nnd diap�y of cAUNao a P��holder may mke such safity <br /> reaponsib�ity of the ��s� �°b,as it may deem necess�y ia cooduct of eo�tn�ctloo nnd mrinh�nce work 6ereunder. It L9 lL�P <br /> pernrttee to. <br /> 5. All privste and nll City properly sh���Rsiwed to ib <br /> °�'�io��eoodition as far as praefiral m tbe o�o of the City B�obi�g OFBciel. <br /> 6. AH underg�nund crossing ins�aiatiaa shall be lald at sueh depth ag mey be specl8ed by the City BuiWi�g Oflicial. <br /> 7. The aketc6 rnvering tl�e details of thia ioa�l�s1�6e n�de a p�t of this pe�mit This pe�t ia Sranted with drc unde�standit�tlwt the <br /> aPP�icaot 6asPneot'�tiana In order t�t tusera in t6e �'d t6eir bte�esh. �takes full respoesi6ility for any damn�e inc�red by prior in9tallatiom as a <br /> resuk of his o ��y� <br /> & It is ezPressF9 BtiP�lated t�at this pe�mit is a�iceme for perminive me ody and that f6e a{ <br /> this permit aholl not operate to creabe or to vest aoT ProP�'�9��m sAid 6dder. � taeilifka opon publie P�P�'�y P�rsuaot to <br /> 9. Whenever tl�e Cit�decides to flurther ezpbit tl�e City Ri�hb of WaY.any or all aaid <br /> aPPurte�mnces aathorized hereunder,shall be immed ���8+P�P�,��,or other facilities and <br /> Oflicial at the ez �` ��]removed fivm aaid Ri�h1a of Way,or reset or relocated thereon as required br the City Building <br /> peox of the holder of tl�i4 <br /> 10. The lalder shsll savt and keep the City harnde�from a�ry:aQ a!1 <br /> rr�ai�rtenance,and operrtion of aaid�acility. ���+slae�m,or in jurlea t6at may otcea bf s'easun ofltse�ssstructf�R; <br /> I1. The holder s6aY comPlele the�squated work wil6in <br /> requested is not rnmpleted u days or t6ia permit s6aN become no0 and wid.In t6e event the work <br /> Pw�the ezpiration date of this permit,t6e City shWl h�ve the right tu eompkte sach work and to <br /> for all costs incumed in compktins said work. ehrrse f6e hoWer oit6e permit <br /> 12. The holder ehsll post a cASh or au�ety bond with ihe C' <br /> obtigatioae h�relo,�to g�yo����of� �9 Manr�er io the sum otS doAars tu guarnntee perfo�nce of the <br /> installation.In tl�e eveM a su ��-0f-wa'desc�ibed hereb ter a period of ine(1)yew'folbwi com <br /> �'�J b°°d 1s Poabed.the au�ety 6oad ahrll 6e mode payr6le to t6e City °g PkHon of d�e requested <br /> the eveM the holder of this permit sheuld fai to med aey of its aod shall oWi�ah the eurety to hdd the City harnileas in <br /> reasonabk attorneya fees in the evrnt °�O°�heremder.The bond shJl aiso iodamdy the City for all eo�a�t costs aod <br /> le�a�action is re'�i�id to colleet oo eaid bo�d. <br /> SUBMIITED BY: <br /> (Permiuce) .;C SL• �v�F11Z�I/.A�Z.. �1Z.I ll F�( (��;,'�� 1��W LN•21�S <br /> S�gnature&Titk_�'t —�'` (l C L �,v G 11.�le k l� � � - 4 <br /> ZZ�� �� 1 S�:S <br /> aaa� 3c�43L S�R1' I�L�+D ��) '11��►�',L�� � �N�1��. �(, 333�1'� <br /> C-y4-(l �f 3 '7 ��= CS.'� Z? /,��afr'�y <br /> � ) <br /> APPROVED BY: <br /> CITY OF ZEPHyggII,IS <br /> Building Of5cial <br /> Date: <br /> usirt�s�,�,�;,o� <br /> vace: _ , r <br /> Public Works l �� // <br /> nate: T IJO �IPEf�1 �,'utS T+F+i4+u� <br /> / ' <br /> City Manager <br /> Date: <br />