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��j_ �� CITY OF ZEPHYRHII.LS-BiJII.DING DEPARTMENT ; �A'�� RIGHT-OF-WAY USE PE1tMIT PEItiVIIT# No construction under ground or above ground of any facility shall be acrnmplished on any City Rights of Way without written approval from the City Building Department My application for approval of construction operations an any City owned Rights of Way shall furnish a detailed drawing showing the rnmplete scope of the proposed sr•ork in iripticate to the oflice of the Building OfTicial for approval prior to the commencement of any work.A copy of this permit is to.be kept readily available at the site of the work at all times. PARCEL I.D.# 11-26-21-0010-07900-0080 c��Roan 9th Avenue nn� 05 02/14 i.ocaTTON�al ne��pso��: See Attached Legal Description Permission is hereby granted to BRIGHTHOUSE NEl1NORKS of 30432 SR-54 WESLEY CHAPEL, FL 33543 for the convtruction and maiMenance of- Installation of 60ft of new catv conduit 8�cable crossing road right of wa _su6ject to the following rnnditions: 1. The construction and mainte�rance of such utility s6a11 not interfere with the property and rights of a prior occupant 2. All work shall be done en keeping�vith the standards oft6e City Streets Department and under the supervision of the City Building 011'icial,who will be notified at least ane day prior to rnmmencement of construcfion. 3. All materials and equipment shall be subject to iaspection by the City Building Official. 4. During construction all safety regulations of the De�rartment of Transportation sha►1 be observed and the City shall be relieved of all responsibility from damage of acry nature arising from this permit Subject ta the same terms and conditions,the permit holder may take such safety measures,iaecluding placing and display of caution signs,as it may deem necessary in canduct of rnnstructinn and maintenance work hereundcr. It is*ha responsibility ofthepermitteeto???? 5. All private and all City properly s6a116e t�stored to its original rnndition as far as practical in the opinion of the City Building OtTicial. 6. All underground crossing installations shall be taid at such depth as may be specified by the City Buildirtg Official. 7. The sketch covering the details of this instal(ation shall be made a part of this pertnit This permit is granted wit6 the understanding tf�at the applicant has noti5ed all other utility users in t6e area covered by the.per�nit and takes full responsibility for any danrage incurred by prior installations as a result of his operations in order that ihey may safe guard their intem.4is 8. It is espressly stipuhted that tltis pernvt is a license for perm�sive use oniy mnd that the placing af facilities upon public property pursuant to this permit shall not operate to create or to vest any property right in said holder. 9. Whenever We City decides to further eaploit the Cily Rights of Way,any or all said poles,wires,pipes,cables,or other facilities and appurteimnces authorized hereunder,shall be immediately removed from said RighLs of Way,or resef or relocated thereon as required 6y the City Building Official at the expense ofthe holder of this permit 10. The holder shall savc and keep the City harmless from arry and all damages,clai�,or injnries that may orcur by reason of the rnn4truction, maiMenance,and operation of said facility. 11. The holder shall complete the requested work�vffhin daps or this permit si�ill 6ecome null and wid.In the event the work requested is not completed upon ihe espiration date of tftis permit,the City shall havc the right to rnmplete such work and to charge the holder of the pem�it for all costs incurred in completing said work. 12. The holder shall post a cash or surety bond with the City Manager in the sum of$ doDars to guarantee perfot�nance of the o6ligations herein,and to guarantee maintenanee of'the right-of-way described herein for a period of one(1)year following completion of the requested installatioa In the event a surety 6ond is posted,the s�ety bnnd s1�ll 6e made payable tn the City and shal)obligate the surety to hold the City harmless in the event the holder of this perntit should fail to meet any of its obligations here�mder.The bond shall aLso indemnify'the City for all rnurt costs and reasonable attorneys fees in the event lega)action is required to rnllect on said bond. SUBMITl'ED BY: (Permittee) L�`�L! '�j� ��i-S� /�i��l,e��(G� Signature&Title l�, A=/!�'y'i. .�Y Addre�`f.�� '�� s� ��,�/��l s �l � ��1�� .�'G� ��°3 APPROVED BY: -- - ---GI'PYOF�EPHYRHII.IS,-_== __ _.�.__ . - -- - .-- Building Ot�cial Date• Utilities Supervisor Date: / �l r„ni«wo� u0 oP�d1 6c�tS,c Date: l21L1 t�`f l�( � City Manager Date•