Fillable Use Permit and Access Management Permit Applicaon (Hillsborough County)

Fill Online, Printable, Fillable, Blank Use Permit and Access Management Permit Applicaon (Hillsborough County) Form

Use Fill to complete blank online HILLSBOROUGH COUNTY (FL) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Use Permit and Access Management Permit Applicaon (Hillsborough County)

On average this form takes 8 minutes to complete

The Use Permit and Access Management Permit Applicaon (Hillsborough County) form is 2 pages long and contains:

1 signature
15 check-boxes
20 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Hillsborough County (FL) forms online.

BROWSE HILLSBOROUGH COUNTY (FL) FORMS

Related forms

Affidavit of Compliance for Protective Barricade Inspection (Hillsborough County)
Administrave Wetland Setback Encroachment Determinaon Applicaon (Hillsborough County)
Natural Resources Permit Applicaon for Subdivision & Site (Hillsborough County)
DEVELOPMENT SERVICES DEPARTMENT APPLICATION FOR UPLAND SIGNIFICANT WILDLIFE (Hillsborough County)
Agricultural Exempon Applicaon This packet has been prepared (Hillsborough County)
EXAMINATION FOR HOUSEBOUND STATUS OR PERMANENT NEED FOR (Hillsborough County)
Cultural Assets Program (Hillsborough County)
Vba21 22are VBA 21 22 (Hillsborough County)
Cultural Assets Program Special Events Partnership Grant Attachment (Hillsborough County)
INFORMATION AND INSTRUCTIONS FOR COMPLETING THE VETERAN'S APPLICATION (Hillsborough County)
Cultural Assets Program Special Events Partnership Grant Attachment (Hillsborough County)
HILLSBOROUGH COUNTY PUBLIC UTILITIES (Hillsborough County)
Appeal of Land Use Hearing Ocer Decision Instrucons (Hillsborough County)
**Applications Accepted By Appointment Only** (Hillsborough County)
CERTIFIED PARCEL CHECKLIST AND APPLICATION (Hillsborough County)
Easement Access Instrucon Sheet The Hillsborough County Board (Hillsborough County)
CERTIFICATION OF COMPLETE SUBMITTAL (Hillsborough County)
(PLEASE PRINT) Hillsborough County Health Department Shelter Evaluation (Hillsborough County)
(FAVOR DE USAR LETRA DE MOLDE) (Hillsborough County)
Tree Condion Evaluaon (Hillsborough County)

Fill has a huge library of thousands of forms all set up to be filled in easily and signed.

Fill in your chosen form

Sign the form using our drawing tool

Send to someone else to fill in and sign.

find another form

Redo

Arial Font

Arial
Calibri
Roboto
Open Sans

AFont color

AB
A.B
A..B
A...B
A....B

Remove Field

ADD FIELDS

1 of 2

8/2020

   



     

    

         



 

   

                

            

                 

       

             

                

             

____________________________________________________________________

___________________________________

_______________________________________________________________________________________________

Right of Way

Use Permit and Access

Management Permit Applicaon

Permit #: _________________________________________ Folio #: _____________________________________

(To be assigned by sta)

Project Name: ________________________________________ Secon/Township/Range: _ _________ / __________ / _________

Location: __________________________________________________________________________________________________________

TypeProject: o Subdivision Site o Site Development

o Other (Explain): ____________________________________________________________________

Type Work: o Water o Road Improvements o Sewer o Storm Water

o Landscaping o Intersecon Improvement o Other (Explain): __________________________________

Access Connecon: o Yes o No Type: o I o II o III

Permit requested by: ______________________________________________________________________________________________

Address: __________________________________________________________________________________________________________

City: __________________________________________________________State: ____________ ZIP: ____________________________

Telephone Number: _______________________________________________________________________________________________

Descripon of Work: _______________________________________________________________________________________________

Subject to the following condions:

1. The applicant declares that prior to ling this applicaon the applicant has ascertained the locaon of all exisng

ulies both aerial and underground and the accurate locaons are shown on the plans.

2. The construcon and maintenance of such ulity shall not interfere with the property and rights of a prior occupant.

3. All work shall be done in keeping with standards approved by the County Engineer of Hillsborough County, Florida, and

under the supervision of said County Engineer or representave.

4. All materials and equipment shall be subject to inspecon by said County Engineer or representave.

5. All construcon shall be performed in a manner meeng the approval of the County Engineer of Hillsborough County

and to Safety Standards as prescribed by Manual on Uniform Trac Control Devices and Hillsborough County shall be

relieved of all responsibility from damage of any nature arising from issuance of this permit.

2 of 2

8/2020

                    

                     

                  

                 

 

               

       

             

                

                 

                

   

                  

                    

                 

               

                 

             

                   

            

                   

                 

                

           

                

         

                

           

___________________________________________________________________________________________________________________

Right of Way

Use Permit and Access

Management Permit Applicaon

6. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the County’s

right, tle, and interest in the land to be entered upon and used by the Permiee and the Permiee will, at all mes,

assume all risks of the indemnify, defend and save harmless the County from and against all loss, damage, cost, or

expense arising in any manner on account of the exercise or aempted exercises by said Permiee of the aforesaid

rights and privileges.

7. All Hillsborough County property and/or rights-of-way shall be restored to original condion. As far as praccable and

meeng the approval of the County Engineer or representave.

8. All overhead installaons shall conform to clearance standards of the Florida Department of Transportaon (FDOT),

and all underground crossing installaons shall be installed at a minimum depth of thirty-six (36) inches below the

pavement and at least thirty (30) inches below ditch grade. Cable TV and communicaon lines shall be installed a

minimum of twenty-four (24) inches below exisng grade. Excepons may be made in special cases by authority from

the County Engineer or representave.

9. The aached sketch or sets of plans covering details of this installaon shall be made a part of this permit.

10. It is expressly spulated that this permit is a license for permissive use only and that the placing of facilies upon public

property pursuant to this permit shall not operate to create or to vest any property rights in said holder.

11. Whenever necessary for the construcon, repair, improvement, alteraon, or relocaon of all, or any poron of a

county facility as determined by the County Engineer, any or all poles, wires, pipes, cables or other facilies and

appurtenances authorized hereunder, shall be removed from said rights-of-way, or reset or relocated thereon as

required by the County Engineer, and shall be done at the expense of the holder.

12. It is agreed that in the event the relocaon of said ulity facilies are scheduled to be done simultaneously with a

County improvement projected, the Permiee will coordinate with the County before proceeding, shall cooperate

with the County’s contractor to arrange the sequence of work so as not to unnecessarily delay the work of the County’s

contractor, defend any legal claims of the County’s contractor due to delays caused by the Permiee’s failure to comply

with the approved schedule, and shall comply with all provisions of the law and Rule 14-46, Florida Administrave

Code. The Permiee shall not be responsible for delays beyond its normal control.

13. The County shall be noed twenty-four (24) hours prior to starng work and again immediately upon compleon of

work.

14. Nofy SUNSHINE at 1-800-432-4770, forty-eight (48) hours prior to starng construcon.

15. Execute and return one copy of this Permit and Final Report to the County when job is completed.

16. The construcon or installaon for which this permit is required will expire ________________________.

(Date)

17. Special Conditions:_____________________________________________________________________________________________

Submiedby(print): _______________________________________________________ Date: _________________________________

Signature: __________________________________________________________________

click to sign

signature

click to edit

Sign the document

DRAW TYPE UPLOAD

Choose file

Sending Options

Clear

Adding Fields

Fields are being added to your document to make it really easy to fill, send and sign this PDF. Once finished you can manually add any additional fields and signatures to the document by dragging them from the toolbar.

For larger documents this process may take up to one minute to complete

Finish

Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

Send for signing

Email for others to sign

Choose a Field
Click on a field and
select the person that should complete it

Want to add a signature?
You can add a signature field
and assign it to someone else
to sign

Send for signing

Email for others to sign

Choose a Field
Click on a field and
select the person that should complete it

Send for signing

Email for others to sign

Someone else

NAME

Email completed PDF

Template

Convert to a reusable Template

Complete document

Use Permit and Access Management Permit Applicaon (Hillsborough County)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 11 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document

You're on your way to completing your first doc!

already registered?

First 20 documents completely FREE!

No credit card required

Digitally sign with 1 click

Request signatures from others

Secure storage for sensitive data

Upload your own forms

Simple PDF editing

Huge library of 1000's of forms