Reso 2007-1101 - Laserfiche WebLink

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ATTACHMENT "B " STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION SPECIAL PERMIT District Six 6/'15 DATE: SECTION NO; COUNTY : STATE PROJECT NO. (if applicable) PERMIT NO.: STATE ROAD NO. MILEPOST FROM, RECORD NO.: TO: APPLICANT: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE NO.: Applicant requests permission from the State of Florida Department of Transportation, hereinafter called the Department, to construct, operate, and maintain the facility shown in the accompanying engineering as described here: Location of Construction, Street Name, and Nearest Intersect ion: 1. Is the proposed work within the corporate limits of a municipality: Name of municipality: Yes ( ) No ( Local Government Contact: 2. Prior to filing this application, the location of all existing utilities, both aerial and underground, has been ascertained, and the accurate locations are shown on the drawings (as applicablel. A letter of notification was mailed on to the following utilities/municipalities: 3. It is expressly stipulated that this permit is a license for permissive use only and that the construction Idthin and/or upon public property pursuant to this permit shall not operate to create or vest any property right in said holder. 4. Whenever it is determined by the Department that it is necessary for the construction, repair, improvement, maintenance, safe and/or efficient operation, alteration, or relocation of any or all portion of said highway and/or transportation facility; the Permittee shall immediately remove any and all installed facilities from said highway and/or transportation facility, or reset or relocate thereon as required by the Department at the Permittee'S expense. 5. All work shall meet Department's Roadway and Traffic Desiqn Standards, Specifications for Road and Bridqe Construction, and other applicable criteria in effect at the time of permit issuance. The work shall be performed under the inspection supervision of , Permit/Maintenance Engineer located at , Telephone No. This designated engineer shall be notified forty-eight (48) hours prior to the pre-construction meeting and again immediately before commencement of work. All material and equipment shall be subject to inspection by the designated engineer or his authorized representative. 6. All Department property shall be restored to its original condition as far as practical in keeping with Department Specifications, and in a manner satisfactory to the Department, within thirty (301 days of the installation of the permitted work, unless otherwise approved by the Department. 7. A drawing covering details of this work shall be made a part of this permit. This drawing shall include plan, profile, and cross sections as appropriate, and may be required to bear the seal of a professional engineer licensed in the State of Florida. As built drawings are required: Yes ( ) No ( ) 8. The Permittee shall commence actual construction in good faith within days from the date of said permit approval and shall compete construction within days from the commencement of work unless the permittee shows good cause for delay and the Department approves an extension. No extension beyond one (1) year from the date of issuance of this permit will be granted. 9. This construction and maintenance shall not interfere with the property and rights of a prior Permittee. 10. Special Conditions and Instructions by the Department: Memorandum of Agreement Contract No. BDH38 Financial Number: 40339317203 12