109 SW 1st Avenue - FMSF Florida , Site#8 PB12965
_ . Master
l a HISTORICAL STRUCTURE FORM Recorder#
Slte i Electronic Version 1.1.o Field Date
El File
Form Date 9/18/2008
First Site Form Recorded for this Site? NO FormNo 190001
FormNo=Field Date(YYYYMM)
GENERAL INFORMATION
Site Name(address If none) 109 sw 1 Ave. Multiple Listing(DHR only)
Other Names
Survey or Project Name Survey#
.............._.__..............
National Register Category Building(s)
LOCATION & IDENTIFICATION
Address
Street No. Direction Street Name Street Type Direction Suffix
109 SW 1 Avenue
Cross Streets(nearest/between) sw 1 Ave. bet. 1 St. & 2 st.
City/Town(within 3 miles) Delray Beach In Current City Limits? YES
County Palm Beach Tax Parcel#(s)
Subdivision Name Map of Town of Linton Block Lot
Ownership Private Individual
Name of Public Tract(e.g.,park)
Route to(especially if no street address)
MAPPING
USGS 7.5' Map Name Publication Date >>DELRAY BEACA;1962 1983
Township: Range: Section: 1/4 section: >> 46s ;43E` ;16;UNSP
Irregular Section Name:
Landgrant
UTM:Zone 17 Easting Northing
Plat or Other Map(map's name,location)
DESCRIPTION
Style Frame vernacular Other Style
Exterior Plan Rectangular _ Other Exterior Plan
Number of Stories 2
Structural System(s) >> Wood frame
Other Structural System(s)
Foundation Type(s) >> Unknown
Other Foundation Types
Foundation Material(s) >> Unspecified
Other Foundation Material(s)
Exterior Fabric(s) >> weatherboard
Other Exterior Fabric(s)
Roof Type(s) » Rip
Other Roof Type(s)
Roof Material(s) >> sheet metal:3V crimp,
Other Roof Material(s)
Roof Secondary Structure(s)(dormers etc)
Other Roof Secondary Structure(s)
Number of Chimneys
Chimney Material
Other Chimney Material(s)
Chimney Location(s)
Page 1 of 3
Is
HISTORICAL STRUCTURE FORM 8PB12965
DESCRIPTION (continued)
Window Descriptions Double hung sash, 1/1, wood
Main Entrance Description(stylistic details)
Porches: #open 2 #closed #incised Location(s) West elevation
Porch Roof Types(s) Gable extension
Exterior Ornament
Interior Plan Other Interior Plan
Condition Good
Structure Surroundin•s
Commercial:some of this category Residential: SOME of this category
Institutional: Undeveloped:
Ancillary Features(Number/type of outbuildings,major landscape features)
Archaeological Remains(describe): None
If archaeological remains are present,was an Archaeological Site Form completed?
Narrative Description(optional)
HISTORY
Construction year c1930
Architect(last name first): Builder(last name first):
Changes in Locations or Conditions
Type of Change Year of Change Date Change Noted Description of Changes
Structure Use Histo
Use Year Use Started Year Use Ended » Private residence;c 930;
Other Structure Uses
Ownership History(especially original owner,dates,profession,etc.)
RESEARCH METHODS
Research Methods >> Building permits
Other research methods FMSF records; tax records; library
SURVEYOR'S EVALUATION OF SITE
Potentially Eligible for a Local Register? YES Name of Local Register if Eligible old School Square Historic District
Idividually Eligible for National Register? NO
Potential Contributor to NR District? YES
Area(s)of historical significance >> Architecture
Other Historical Associations
Explanation of Evaluation(required) Contributes to character of the district through its sense of scale.
Page 2 of 3
HISTORICAL STRUCTURE FORM 8PB12965
DOCUMENTATION (Photos, Plans,etc.)
Photographic Negatives or Other Collections Not Filed with FMSF,Including Field Notes,Plans,other Important Documents.
Document type: Maintaining Organization:
File or Accession#: Descriptive Information:
RECORDER INFORMATION
Recorder Name(Last,First) Rodriguez, Ivan
Recorder Address/Phone 2199 Ponce de Leon Blvd. Coral Gables FL 33134 305-446-7799 X 31
Recorder Affiliation Other Other Affiliation R.J. Heisenbottle Architects P.A.
Is a Text-Only Supplement File Attached(Surveyor Only)?
****** MASTER SITE FILE USE ONLY******
SHPO's Evaluation of Resource
Cultural Resource Type:
Electronic Form Used: Date
Form Type Code:
Form Quality Ranking:
Form Status Code:
Supplement Information Status: FMSF Staffer:
Supplement File Status: Computer Entry Date:
Form Comments:
REQUIRED (1) USGS 7.5" MAP WITH STRUCTURE PINPOINTED IN RED
PAPER (2) LARGE SCALE STREET OR PLAT MAP
ATTACHMENTS (3) PHOTO OF MAIN FACADE, B&W, AT LEAST 3"X5"
Page 3 of
f f
Florida
• r -Master Site#8 PB12965
Site �' HISTORICAL STRUCTURE FORM Reorder#
File ii Electronic Version 1.1.0 Field Date 3/1/2005
Form Date 3/23/2005
First Site Form Recorded for this Site? YES FormNo 200503
FormNo=Field Date(YYYYMM)
GENERAL INFORMATION
Site Name(address If none) 109 SW 1 Ave. Multiple Listing(DHR only)
Other Names »
Surveyor Project Name Old School Square Historic Resources Survey Survey#
National Register Category Building(s)
LOCATION &IDENTIFICATION
Address
Street No. Direction Street Name Street Type Direction Suffix
109 SW 1 Avenue
Cross Streets(nearest/between) sw 1/sw 2 Streets
City I Town(within 3 miles) Delray Beach In Current City Limits? YES
County Palm Beach Tax Parcel#(s)
Subdivision Name Map of Town of Linton Block Lot
Ownership Private Individual
Name of Public Tract(e.g.,park) Old School Square
Route to(especially if no street address)
MAPPING.
USGS 7.5' Map Name Publication Date »DELRAY BEACH;1986
Township: Range: Section: 114 section: » 46S ;43E ;17;UNSP
Irregular Section Name:
Landgrant
UTM:Zone Easting Northing
Plat or Other Map(map's name,location)
DESCRIPTION
Style Frame Vernacular Other Style
Exterior Plan Rectangular Other Exterior Plan
Number of Stories 2
Structural System(s) » Wood frame
Other Structural System(s)
Foundation Type(s) » Unknown
Other Foundation Types
Foundation Material(s) >> Unspecified
Other Foundation Material(s)
Exterior Fabric(s) >> Weatherboard
Other Exterior Fabric(s)
Roof Type(s) » Hip
Other Roof Type(s)
Roof Material(s) » Sheet metal:3V crimp
Other Roof Material(s)
Roof Secondary Structure(s)(dormers etc) »
Other Roof Secondary Structure(s)
Number of Chimneys
Chimney Material
Other Chimney Material(s)
Chimney Location(s)
Page 1 of 3
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• HISTORICAL STRUCTURE FORM 8PB12965
DESCRIPTION (continued)
Window Descriptions 1/1 DHS, wood
Main Entrance Description(stylistic details) The entrance is obscured by heavy vegetation and a high privacy wall.
Porches: #open 2 #closed #incised Location(s) west elevation
Porch Roof Types(s) Gable extension, uninterrupted
Exterior Ornament Cornerboards, wood balustrade on the second floor
interior Plan Unknown Other Interior Plan
Condition Good
Structure Surroundin's
Commercial:SOME of this category Residential: SOME of this category
Institutional: Undeveloped:
Ancillary Features(Number!type of outbuildings,major landscape features)
Archaeological Remains(describe): None
If archaeological remains are present,was an Archaeological Site Form completed? No
Narrative Description(optional)
HISTORY
Construction year c 1930
Architect(last name first): Builder(last name first):
Changes in Locations or Conditions
Type of Change Year of Change Date Change Noted Description of Changes
Structure Use Histo
Use Year Use Started Year Use Ended >> Private residence;c193 0
Other Structure Uses
Ownership History(especially original owner,dates,profession,etc.)
RESEARCH METHODS
Research Methods » Sanborn maps
Other research methods
SURVEYOR'S EVALUATION OF SITE
Potentially Eligible for a Local Register? No Name of Local Register if Eligible
Idividually Eligible for National Register? No
Potential Contributor to NR District? YES
Area(s)of historical significance » Architecture
Other Historical Associations Old School Square Historic Arts District
Explanation of Evaluation(required) Although this building lacks sufficient architectural distinction and
historical significance for individual designation and NRHP listing, it contributes to the
surrounding historic district through its architecture.
Page 2 of 3
• HISTORICAL STRUCTURE FORM 8PB12965
DOCUMENTATION (Photos, Plans, etc.)
Photographic Negatives or Other Collections Not Filed with FMSF,Including Field Notes,Plans,other Important Documents.
Document type: Maintaining Organization:
File or Accession#: Descriptive Information:
1 »
RECORDER INFORMATION
Recorder Name(Last,First) Hyland, Mattew; Tuk, Jared
Recorder Address I Phone 618 East South Street, Orlando, Florida, 32801 407.423.8398
Recorder Affiliation GAI Consultants - SE Other Affiliation
Is a Text-Only Supplement File Attached(Surveyor Only)? NO
****** MASTER SITE FILE USE ONLY******
SHPO's Evaluation of Resource
Cultural Resource Type: SS
Electronic Form Used: silo Date
Form Type Code: NORM
Form Quality Ranking: NEW
Form Status Code: SCAT
Supplement Information Status: NO SUPPLEMENT FMSF Staffer:
Supplement File Status: NO SUPPLEMENT FILE Computer Entry Date: 3/23/2005
Form Comments:
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ATTACHMENT_ ,-, . . . ... ..,, .,,. , , i'cX V V, n I Ir'‘,J I AZ,
Page 3 of 3
PB 12965-200503
Supplementary Printout
> USGS map name/year of publication or revision:
DELRAY BEACH;1986
> Township/Range/Section/Qtr:
46S;43E;17;UNSP
> Structural system(s):
Wood frame
> Foundation types:
Unknown
> Foundation materials:
Unspecified
> Exterior fabrics:
Weatherboard
Stucco
> Roof types:
Hip
> Roof materials:
Sheet metal:3V crimp
> Roof secondary structures(dormers etc):
> Change status/year changed/date noted/nature:
> Original, intermediate, present uses/year started/year ended:
Private residence;c1930;
> Research methods:
Sanborn maps
Pedestrian
Examine local property records
Library research-local
Plat map
> Area(s)of historical significance:
Architecture
Community planning&development
> Repositories: Collection/Housed/Accession#/Describe
> [Other name(s)]:
Page 1 Of 1