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CITY OF ZEP LS-BUILDING DEPAIt�'MENT �J�f�� ,,,- ' DAT'E: RIGHT-O -WAY USE PERMIT PE�2IVIIT# � � � . �f�. �' No construction under ground or above ground of any 1'acility hall 6e accomplished on any City RigMs of Way without writteu approval from the City Buitding Departrnent My application for approvul af construction peralions on any City owned Rights of Way shall t'w�nish a detailed drawing sho�ving ifie complete scope ofthe proposed work in tr6plicate to the offi ofthe Building Official for apprwal prior to the commencement ofany work.A copy of this permit is to be kept readily availa6le at the site of 4he work all tunes. PARCEL I.D.# 14-26-21-0170-00000-0030 ciz�t xonn � Eagle Ranch Drive DA 14 i.ocnzzox��n��,;pc�on>: See Attached Legai Descri tion Permission is hereby gr.�nted to BRIGHTHOUSE NEIWORK of 30432 SR-54 WESLEI(CHAPEL, FL 33543 for the rnnsiruction and mai�eaance of- Installation of 60ft of new catv conduit&cable rossin road ri ht of wa _subject to the follo�ving rnnditions: 1. The construction and mainteoance ofsuch utility shall rrot i erferc svitt�the properly and rights of a prior occupant 2. All work shall be done in keepmg vcith the standanls of the ity Stmets Depsutmertt and under the sapervision of the City Building Official,who will be nntified at Icast one day prior to commenceme�ct of construction. 3. All materials and equipment shall be subject to inspection the City Building OfiiciaL 4. During construction all safety regulaHons ofthe Departme ofTransportation shall be observed and We City shall be relieved of all responsibility from damage of any nature arising from this permit Su6je to the same terros and conditions,the permit holder may take such safety measares,including plaring and display of caution si�es,as 6t rtray deem cessary in conduct of consttvction and maintenance work hereunden It is the responsibility of the pernvttee to???? 5. AI!private and ali City properly shall Ge restored to its orig mal rnndition as far as practical in ttee opinion oft6e City Building OfTicial. 6. All underground crossing installations shall be taid at such epth as may be specified 6y the City Building O�cial. 7. The sketch covcring the details ofthis installation sf�all be ade a part oft6is permit T6is permit is grartted with the understandi�g that the applicant has notified all other utility users in the area covered by the pe 't and takes full responsi6ility for aoy dart►age incurred by prior installations as a result of his operatians in order that t6ey may safe gua*d tLeir interests. 8. It is espressly stipula4ed that tltis permit is a Iicense for pe 'sive use only and t6at tbe placing oPfac�7ities upon pu6lic pmperty pursuarrt to this permit shall not operate to create or to vest any property right in said older. 9. Whenever the City decides to further ezploit the City Righ of Way,any or all said poles,wires,pipes,cables,or other fac�ities and appurtermnces authorized hereunder,shall be immediately removed from aid Rights of Way,or reset or relocated thereon as required 6y the City Building Official at the expense of the holder of this permit 14. 'd7ee hod�er sh��ee a.�d keep Nae Ci+ty�•�•••��f ecr_as[y d 2!!cl2s�__ges�elaima�n�e�jeui:s tlt��3p e!'ceu'L+�C_2S9F!eCEhP CO[��C'!!CL^^i maiMenance,and operation of said facility. 11. The holder shall complete the�qaested work�vithin days or this permit stnll bernme�ll and wid.In the eveut the work requested is not completed upon the espiration date of this permit,the Ci sFra11 have the right to rnmplete svch wark and to c6arge tf�e holder of the permit for all costs incurred in completing said work. 12. The holder shall post a cash or surety band with e City Manager in the sum of$ dollars to guarantee performance ofthe o6Ggations he�eia,and to guarantee maintenance of the right-of-way desc bed herein for a period of one(1)year following completion of the requested installation.In the event a surety bond is posted,the s�ety bond steall be e payablc to the�ty and s6a11 o6ligate tl►e suisty to hald the City harmless in the event the holder of this permit should fail to meet arry of its obligations ere�mder.�he 6ond shall aLso indemnify the City for all co�u�t costs and reasonable attorneys fees in the even41ega1 aclion is required W collect on 'd 6on�L ' SUB TI'ED BY: , .J `�i (Permittee) �i �a�lt.'� Signature&Title /�� / f Add,�30��z S�R �' ��sf� Ch� �� f 3.��'�.� ��) �i��o� � APP OVED BY: C1fY O ZEPHYRHILLS Building Official — -� __--- � Date• Utilities Supervisor Date: —' n Il q Public Works �� /TS �Q q(� ��.5�(J�'!lEl� �� Date• � City Manager Date: