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" CITY OF ZEPHYRHILLS-BUILDING DEPARTMENT t% (,�� • DATE: RIGHT-OF-WAY USE PERMIT PERMIT# T � No rnnstruction ueder grouod or above ground of any tncility shall be accomplis6ed on any City Rights of Way without written approval from t6e City B�ilding Department Any appliption tor approval of rnnstrvctioo operations on any City owned Rights of Way s6a11 furnish a detaikd dmwing showing t6e oomplete scope of the proposed work in trtpticate to the oflice of the Building Officiai for approval prior to t6e commencement of sny work.A rnpy of this permit is to be kept readily avsilabk at t6e site of the work at all times. PARCEL I.D.# 35-25-21-0010-07400-0000 CTfY ROAD Dairy Road DATE /'I4 LOCATION(I.egal Description): $ee attaCh2C� �@9a)(�2SC�IptlOft. Permission is hereby graeted to BRIGHTHOUSE NETWORKS ot 30432 SR-54 WESLEY CHAPEL, FL 33543 for t6e construction and maintenance of- Installation of 478ft of new catv conduits&cables within road right of way. _sabject to t6e foRowing rnnditions: 1. The construction aod maintenance of snch udllty shall not interfere with the property and righfs of a prior accupant. 2. All work s6a11 be dooe in keeping wit6 the staadards of t6e City Streets Department and under the supervision of the City Buildiag OfBcial,wAo will be notitied at least o0e day prior to rnmmencement ot constructioo. 3. AII meterials and eqnipmeot sha11 be sabject to inspection by t6e City Boilding Officia4 4. During constructioa all saiety regulatlons of the Department of Traosportatioo shall be observed and t6e City shall be rclieved of all responsibility from damage of any natare arisiag from thi�permit.Sabject to t6e same terms and conditioos,t�e permit hoWer may talce such satety measures,inclndiog placing and displsy ot caation signs,as it may deem necessary in conduct of rnnstroction snd maintensnce work 6ereuoder. It is the responsibility of the permittee to???� 5. All private and all City properly shsll be restored to its original condition as far as praetical in the opinioe of ffie City Baildieg OfficiaL 6. All underground crossing iostsllations shall be laid at such depth as may be specified by the City Bailding Official. 7. T6e sketch covering the details of this iostallation shall be made a part of this permit.This permit is granted with the unde�standing t6at the applicant has eodt�ed all other utility users ie the aree covered by t6e permit aad takes fall responsibility for any damage incurred by prior installations as a result of his operallons in order that t6ey may safe guard t6eir interesfs. 8. It is eapressly stipulated that this permit is a license for permissive ase onty and that the placieg of tacitities npon public property pursaAnt to this permit s6811 not operate to creste or to vest aey property rig6t in seid holder. 9. Whenever the City decides to further ezpbit the City Rights of Way,any or all seid poles,wirea,pipet,cablea,or ot6er facilities and appurtensnce9 aathoriud 6ereunder,s6a11 be immediately removed from said Rig�ts of Way,or reaet or relocated thereon as rcquired by t6e City BuiWing Ot[�cisl at the eapense of the holder of this permit 10. T6e 6older s6e11 save and keep the City harmless from sny and all damages,claims,or injaries thnt may occor by reason of the constructao, mainteoance,and operation of said fscility. 11. The holder shall rnmplete the rcqnested worlc within days or this permit s6aI1 become eull aad void.In the event the work requested is not completed upon the ezpiration date of t6is permit,the City shall have the right to complete sach work and to c6arge the holder of the permit for sll costs incurred io completiog said work. 12. T6e 6oWer shall post a cash or sarety bond with the City Manager in the sum of S dollars to gaarantee performance of t6e obtigations herein,and to guarantee maintenance of the rlght-0f-way described herein for x period of one(1)year following completion of the requested installstion.In the event a sarety bond is posted,the surety bond shall be made payable to the City and shsll obligate the sarety to hold the City 6armless in the event t6e hoWer of thi4 permit shouW tail to meet aey of its obligations hereander.T6e bond s6a11 also iademnify the City for all court costs and reASOnable attomeys fces in t6e eveat legal action is required to collcct oe said bond. SU MIITED BY: (Permittce)�12 i 11 T Pi u s� �1��/�.V�►�'�S Signature&Titk ` i �'l� �"� Address��T>�S�� {��if�SI��I�/!�� �� 71�f..p�c'� t)' APPROVED BY: � CTI'Y OF ZEPHYRHILLS Bailding Ol'[feisl Dste: Utilities Sapervi.9or Date: � N Pablic Worlcs �i(/t7 �/ na�:�T.4�v i y City Mansger Date: