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Special Use Permit Application

  1. Complete this application for approval to conduct any work within the City's rights-of-way. Once the application is approved, you will be emailed a link to complete the application fee and escrow payment online. The permit will not be issued until the fees and escrow have been paid and the application is complete.

  2. Type of Work (Check all that apply):*

  3. If Driveway was checked as the 'Type of Work,' will the driveway's current dimension change?

  4. Contractor is responsible for any damage to the City Right-Of-Way, including, but not limited to, streets, sidewalks, lawn areas, and utilities. The Contractor must notify the Department of Public Works, in writing, thirty (30) days after completion for final inspection. Areas must be completely restored to City standards prior to deposit being refunded. All permit approvals are subject to the "General Conditions" contained on the reverse hereof and any additional special requirements indicated.

  5. Certificate of Liability

    **A Certificate of Liability Insurance must be on file prior to the commencement of any work performed. The Certificate of Liability must provide $300,000.00 coverage per occurrence and $100,000.00 per person.**

    Granting of a Special Use Permit for the use of any Public Right-Of-Way does not create franchise rights of any kind, and the Applicant agrees that any use of the Public Right-Of-Way permitted by this Special Use Permit shall be subject to termination, removal, and/or relocation at the Applicant’s expense upon written notice by the City.

  6. Upload Certificate of Liability here, if available.

  7. Application Verification

  8. General Conditions

    Applicant shall read the below information on the Special Use Permit process and agree to these conditions prior to submitting this application

  9. Inspections:

    Inspections shall be made by the Department of Public Works during each stage of fill operations and final approval shall be required upon completion of operations. Applicant shall notify the City upon commencement of the following when and as completed: rough grading, finish grading before seeding, and all re-establishment and construction work.

  10. Use of Streets During Grading:

    At least five (5) working days prior to the use of any street in the City by trucks or hauling or grading equipment engaged in grading operations in the City that require the use of the streets of the City, Applicant shall provide written notice to the Director of Public Works specifying the kind and description of trucks or hauling or grading equipment, and the loaded and unloaded weight of the trucks and hauling equipment, and the number of each and the length of time they will be required to use the streets of the City. The contractor shall furnish the Director of Public Works with all other information required to estimate or determine the amount of wear and tear or damage, if any, that may be caused to streets by such usage. Before construction actually commences or while the work on the streets is in progress, the Director of Public Works may require any contractor or subcontractor to post surety bonds or insurance with the City to guarantee the City for compensation for any damage to streets, curbs, sidewalks, trees, landscaping, or other public facilities.

  11. Other Requirements:

    All other requirements in Chapter 425 Grading Code, including, but not limited to, Section 425.050 Standards; safety precaution, and Section 425.100 Construction dirt, debris, and noise, shall be adhered to at all times during the work covered by this Permit Application.

  12. Correction of Deficiencies:

    All violations shall be corrected within the time limit specified in the issuance of a written notice to correct. Action to correct violations that require immediate action shall be taken upon verbal notification of the Applicant by the City. All persons failing to comply with such notice shall be deemed in violation of Chapter 425. Responsibility for the work to be completed under this Application is nontransferable without prior written approval by the City of Wildwood. Areas must be completely restored and finished to City standards and satisfaction prior to refund of deposit.

  13. Penalties for Violation:

    Violation of any provision of Chapter 425 shall be a misdemeanor, punishable by a fine of not less than five dollars ($5.00) and not more than five hundred dollars ($500.00) or by imprisonment for a period not to exceed three (3) months or by both fine and imprisonment. Each day of violation shall constitute a separate offense.

  14. Escrow Release:

    Please be advised that all requests for escrow deposit release MUST be made within one (1) year from the date of issue of the original permit in order to receive any/all funds. All requests for escrow release must be made in written form and given to the attention of the “Public Works Dept – Escrow Release.”

  15. Agree to General Conditions:*

  16. Leave This Blank:

  17. This field is not part of the form submission.