<p> Residential Application for DCA Approved Sheds</p><p>GENERAL INFORMATION</p><p>Application Date Application Number (for office use only) Applicant Name (please print): </p><p>Property Owner’s Name: Phone </p><p>Property Owner’s Address: </p><p>Site Address: </p><p>Block: Lot: </p><p>SHED INFORMATION</p><p>______Dimensions______(max size 160 sq ft in area) Type of Shed Type of Flooring</p><p>Applicant’s Name (please type or print Applicant’s Signature</p><p>Provide one (1) copy of the following:</p><p> Site plan showing shed location on property *per FS489.5 (21) exemption</p><p> Certification letter from DCA for approved Shed *per FS489.5 (21) exemption</p><p>NOTE: Shed must have approved DCA # affixed to the unit. NOTE: Concrete slab for shed is permitted separately.</p><p>Issued by Date: </p><p>FEE: $ _26.00 </p><p>F-DCD-1028 Page 1 of 1 DCA Approved Shed Application 06-20-13 LAK</p>