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HomeMy WebLinkAbout2016 FPL New Electric Pole Installations t E e x • HOW :x y F i. e 1225 Main Street,Sebastian, Florida 32958 Tel(772)589-5490 Fax(772)589-6209 ENGINEERING DEPARTMENT - APPLICANT INFORMATION SHEET APPLICATION FOR PERMIT TO WORK IN A CITY RIGHT-OF-WAY I EASEMENT This sheet is part of an application for permission to perform work in a City right-of-way and/or easement in ecoordance with terms and conditions as set forth by the City Engineering Department. Please attach a sketch of the proposed work with a written address/description of the location. All pages of the sketch document must clearly identify the applicant and be dated and initialed by the applicant Also attached should be a brief but clear description of the work to be performed and its general purpose. Name of Applicant ' Freida Power&Light Cc Address: 9001 Ellis Road,Melbourne, FL 32904 Contact Person:: Kaylin Chin-Permit Administrator Contact Numbers: Office Tel.: 321-726-4818 Cell: Email: kaylir.chln( fpl.com Applicable License(s): Location of Work: Barber St,Caravan Ter,George St,Rolling HIV Dr.Watercrest St,Engler Dr.Tulip Dr. Atlantis Ter,Rosebush Ter,Rose Ardor Dr,Ciearnnont St,Landsdown Dr,Tunison Ln This work is to be done In a City right-of-way Yes and/or easement (yes/no) (yes/no) This work is being done in and/or affects a: Front Swab_ Side Ditch Rear Ditch I Channel Culvert Canal Seawal Other: Description of Work involved: Proposed installation of 1 new wood pole:installation of 23 new concrete poles:replacement of 17 existing wood poles w/new wood poles;replacement of 45 existing wood poles wI new concrete poles;replacement of 19 existing Dore-eke pales wi new concrete pptles. FPL WR6947168 Will work require grade elevations to be set 1 checked? Yes No Estimated Dates of Start I mple' : / Applicant Signature: Date: 0712112016 Engineering Use Only: Pre-construction Inspection: Date: Fir al lrspection; Date: ROW apc rove!sheet 9/19103 FPL WR6947'68 • • CITY OF SEBASTIAN RIGHT-OF-WAY I EASEMENT WORKPERMIT CONDITIONS 1. tlo construction of any kind may be done in a City right-of-way or easement prior to application for and issuance of a valid permit by the Engineering Department. 2. Any area disturbed in a City right-of-way or easement must be restored to a condition equal to or better than the existing condition immediately prior to being disturbed. This Includes(but is not limited to)proper compaction, grading,paving,seeding,mulching,sodding,etc.,as the case may be as solely determined byline City.The quality of construction,materials,and workmanship shall be In accordance wth City standards and meet City approval. 3. Applicant/permittee shall notify the Engineering Department(tel 772-589-5490)at least two(2)working days prior to the commencement of any construction activity,Including but not limited to placement of concrete,paving of asphalt, installation of culverts,and/or backelling of trenches so that the City may inspect installations as necessary. . Applicant/permittee shall further notify the City in writing to request final inspection and approval at the completion of the permitted activity. 4. An issued permit shall be valid for a period of 90 calendar days unless otherwise stated in writing on the face of the permit by an authorized representative of the Engineering Department 5. Applicant/perrnittee shall assume the responsibility for all maintenance,replacement,or removal of any right-of-way improvement authorized by this permit and applicant/permittee further agrees by acceptance of this permit to indemnify and save harmless the City,its officers,employees,or agents,from any damages,claims,causes of action,or losses,whether for personal injury,loss of life or property damage,arising from the actions or omissions of applicant,Its officers,agents,or employees,associated with the placement,maintenance or removal of installations authorized by permit The applicant agrees to use all reasonable care under the given circumstances to assure that members of the pubic are not unreasonably Inconvenienced nor endangered by the activities conducted hereunder. including the use of reflectorized barriers,warning signals,flagpersons and/or other prudent measures as described In the most recent edition of the Manual on Uniform Traffic Control Devices(MUTCD),published by the US ' Department of Transportation,Federal Highway Administration. 6. The validity of an issued permit is contingent upon applicant obtaining other necessary permits from any other agencies having jurisdiction in the matter. Further,issuance of a permit does not relieve applicant of lability for trespass to private property. 7. An issued permit shall be considered a license only for the limited purpose of installation,placement and . maintenance of the improvements specified on the face of the permit,and does not convey any other right,title,or interest of the City in the subject right-of-way/easement property. B. Applicant/perm tee agrees to remove or alter suG1 permitted installations without objection or cost to the City as the City may direct,at any time,within a reasonable time after receipt of direction by the City Engineer or an authorized representative of the Engineering Department 9. Applicant/permittee is cautioned that electrical,water,sewer,cable,telephone,and/or other installations or utilities may be located within the construction area. Applicant/permittee is obligated to use and shall use the most dtigent efforts to detect,locate and protect all such installations, and shall coordinate construction with all other lawful users of the subject right-of-way/easement. Applicant/permittee shall be liable in every manner far all damages proximately resulting from its interference with or interruption of services provided by other lawful right-of-way I easement users. 10. At no time shall the construction block or interfere with the flow or operation of the stormwater drainage system. I have read the above and duly acknowledge and accept the terms and conditions as outined. i also acknowledge that additional terms and conditions may be further set out by the City in the matter of this application end I agree to fully comply with and abide by same. 4171g r • 07/2112016 Signed by Applicant f Let) Date: ROW perrnii conditions 9/19/03 F tl Ny Q�`r 'O. 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