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This instrument prepared by
and return to:
<name and address>
Parcel ID #: ______________________
DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS
THIS DECLARATION is made this _____ day of __________, 20 ______ by
__________________________ and _________________________, whose mailing address is
__________________________________________, hereinafter “Owner.”
WHEREAS, Owner is/are the record owner(s) of the following described real property lying and
being in Charlotte County, Florida, to wit:
<insert legal description>
This is improved property known as: <street address>
WHEREAS, Owner has applied for a permit to place a structure on that property which includes
an enclosed area below the Base Flood Elevation constructed in accordance with the requirements of
Charlotte County Code, chapter 3-2, article VIII, under permit number _________________________.
WHEREAS, Owner is recording this instrument to certify and declare that the following covenants,
conditions and restrictions are placed on the property in conjunction with the permit and affect the rights
and obligations of the Owner and are binding on the Owner, his/her/their heirs, personal representatives,
successors and assigns.
UPON THE TERMS AND SUBJECT TO THE FOLLOWING CONDITIONS:
1. The structure or part thereof to which these conditions apply is -
______________________________________________________________________________.
2. At this site, the Base Flood Elevation is _______ feet above mean sea level, National Geodetic
Vertical Datum and the Design Flood Elevation is _______ feet.
3. Enclosed areas below the Design Flood Elevation shall be used solely for the parking of vehicles,
limited storage and access to the building. All interior walls, ceilings and floors below Design Flood
Elevation shall be unfinished or constructed of flood resistant materials. Mechanical, electrical
and plumbing devices shall not be installed below Design Flood Elevation.
4. The walls of the enclosed areas below Design Flood Elevation shall be equipped and remain
equipped with openings shown on the permit documents.
5. Charlotte County may take any appropriate legal action to enforce the terms of this instrument
and correct any violation. Violations may result in fines which shall become a lien on the property,
if unpaid. Any alterations or changes to the permitted construction in violation of applicable law
may also render the structure uninsurable or increase the cost of flood insurance.
Other conditions ________________________________________________________________.
