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114 NE 1st Avenue, *1941 - FMSF ~Florida , Master , TM" �:a HISTORICAL STRUCTURE FORM 1. site#8 Ps10590 Site wfIl File Electronic Version1.0 Recorder#Field Date 2/11/2009 /, - Form Date 2/12/2009 First Site Form Recorded for this Site? NO FormNo 200902 FormNo=Field Date(YYYYMM) GENERAL INFORMATION Site Name(address If none) 114 NE 1 Ave. Multiple Listing(DHR only) .....__.............................. Other Names » Survey or Project Name Old School square Historic District Survey# National Register Category Building(s) LOCATION & IDENTIFICATION Address Street No. Direction Street Name Street Type Direction Suffix 114 NE 1 Avenue Cross Streets(nearest/between) NE 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) 12-43-46-16-01-067-0140 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 BEACH;1962 1983 Township: Range: Section: 1/4 section: >> 46S ;43E ;16;SW Irregular Section Name: Landgrant UTM:Zone 17 Easting 592338 Northing 2927194 Plat or Other Map(map's name,location) DESCRIPTION Style Frame Vernacular Other Style Bungalow Exterior Plan Rectangular Other Exterior Plan Number of Stories 1 Structural System(s) >> wood frame Other Structural System(s) Foundation Type(s) >> Continuous Other Foundation Types Foundation Material(s) >> Concrete Block Other Foundation Material(s) Exterior Fabric(s) >> Weatherboard Other Exterior Fabric(s)Wood shingles on bungalow Roof Type(s) >> Gable Other Roof Type(s) Cross gables on bungalow Roof Material(s) >> Asphalt Shingles Other Roof Material(s) Roof Secondary Structure(s)(dormers etc) >>Cross gable Other Roof Secondary Structure(s) Number of Chimneys 1 Chimney Material Brick Other Chimney Material(s) Chimney Locations) Exterior; right elevation Page 1of3 • HISTORICAL STRUCTURE FORM 8PB10590 DESCRIPTION (continued) Window Descriptions Double hung sash, 6/6, wood Main Entrance Description(stylistic details) Inside porch in the bungalow. Porches: #open 1 #closed #incised Location(s) Deep wrap-around porch on two sides, supported on battered wood posts. Porch Roof Types(s) Gable Exterior Ornament Cornerboards; exposed rafter tails; wood shingles, battered posts and vertical board-n-batten on gable end in bungalow. Interior Plan Other Interior Plan Condition Fair 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) Three structures on the property, the original 1941 structure, moved a few feet to make way for two other structures, relocated in 2005 from 350-362 NE 5th Ave: a bungalow and a frame vernacular from 1921-1922.Undergoing rehabilitation. HISTORY Construction year 1941 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 » Moved;2005;;Two structures moved to the site. Origin Structure Use Histo Use Year Use Started Year Use Ended » Private residence:1941; 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) Three structures include one bungalow and two frame vernacular. All three contribute to the character of the historic district through stylistic features and scale. Page 2 of3 HISTORICAL STRUCTURE FORM 8PB10590 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 3.3134 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 3 . , , , , ,,, --..,'... .. II I I t ' ‘ f 1 I 1 i ' 1 ' /e I, t - • \ \ C I4 1 ' s , 7 A\ Ail . 411 . _ • --- `1! ,... \ ..„.„ .-"•_'‘ \ .... - . . ,_ .. 4 - 1-. _ 1 . "..- ..z.' \ -, 1 „ F T r , :,tt.--.I. N. t'l t_ .., . . ., , , \ . ., ,s1 A Lil : Iv ...... . . . ... ..._ ... ... . , .....__,,...... ,...„.. ..„:„....„... II,•....,. ..__.:,_... „,„..„. ...... . .. . . .. . . . . .. ..„...10... . ,k • • .. ` .4. • _ i,ss• ,Ift. . ..,:/414, ,,`I ; .:1( ' •' ... . • •b iir ' tt.!_pa r- ?iiii,..,,..flt" ._., . . - , ;11,1011111011071' A - ilw .... _ l'.4,..,„.. 10111°111411111"1114-111114 Allikib..... , _ -- _ - - v , . ,.. 11111111. 1 •t--. . ..... . _ ,-- .4 ' '.• —'14 ,.. ., lip le 11 4 1 I . : . ill 0 1 ..--,--,- _ , • ,.- .,... '' , . .. . ' 1,1 r : 1111 .....,!.eitim.----__ . ••---,..v.,.',..-.4_, .:-.._, - - _ . . -•:-.; -"._. .,.-.-_=,-—4,•• • _.. .-,. . ... • _ _ k lo ' —— --Ir.....1,i>,........, Nes MIN nuj MI num .. ..e•,:yam:-t�,-4.. .;_ ,�-r-, _. s.. �r...acas- a�"�•F r . le , lin -./.1'..-. . ' llitNs'.' _. vi, wAi r. c. U. s.- p iyr n 1 •{. all vk Florida Master / r " �`; site#a P81os90 Site ' A I HISTORICAL STRUCTURE FORM Recorder# File -1 I Electronic Version 1.1.o Field Date PM �� Form Date 9/10/2008 First Site Form Recorded for this Site? NO FormNo 190001 FormNo=Field Date(YYYYMM) GENERAL INFORMATION Site Name(address If none) 114 NE 1 Ave. Multiple Listing(DHR only) __.._.._._._._.._........_.__. Other Names » Survey or Project Name Survey# .._........_.__.__.._....... National Register Category Building(e) LOCATION &IDENTIFICATION Address Street No. Direction Street Name Street Type Direction Suffix 114 NE 1 Avenue Cross Streets(nearest/between) NE 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) 12-43-46-16-01-067-0140 Subdivision Name Nap 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 BEACH;1962 1983 Township: Range: Section: 1/4 section: >> 46s ;43E ;16;SW 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 114 Structural System(s) >> wood frame Other Structural System(s) Foundation Type(s) >> Continuous Other Foundation Types Foundation Material(s) >> Concrete Block Other Foundation Material(s) Exterior Fabric(s) >> Weatherboard Other Exterior Fabric(s) Roof Type(s) >> Gable Other Roof Type(s) Roof Material(s) >> Asphalt Shingles Other Roof Material(s) Roof Secondary Structure(s)(dormers etc) » Other Roof Secondary Structure(s) Number of Chimneys 1 Chimney Material Brick Other Chimney Material(s) Chimney Location(s) Exterior; right elevation Page 1 of 3 1 HISTORICAL STRUCTURE FORM 8PB10590 DESCRIPTION (continued) Window Descriptions Double hung sash, 6/6, wood Main Entrance Description(stylistic details) Porches: #open 1 #closed #incised Location(s) Main facade Porch Roof Types(s) Shed Exterior Ornament Cornerboards; exposed rafter tails Interior Plan Other Interior Plan Condition Deteriorated 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) Typical of district's frame vernacular structures. HISTORY Construction year 1941 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 Histor Use Year Use Started Year Use Ended >> private residence 1941; 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 the character of the historic district through stylistic features and scale. Page 2 of 3 HISTORICAL STRUCTURE FORM 8PB10590 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****** Cultural Resource Type: SHPO's Evaluation of Resource Electronic Form Used: Date Form Type Code: Form Quality Ranking: Form St Code: Supplement information atus 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 • -.....:-.--. :., - ., '4. `lI �� 1:3 £ E.1"�M r. ..y`,. " ''ate-.,k - . L x . Y¢ T ?i. i 'tom +.r. _'. $-� 1t _VM`. . �.....fr., ;r' as • r 4. 'r _ sit 4:rC ,h«°`.7X.�it,% 114 N.E. 1st Avenue Delray Beach, Florida • FLORIDA MASTER SITE FILE Site Inventory Form Site No. • • Site Name • . . Survey Date 1987 ' Address of Site ( l4 NE I ST • _ Instruction for locating Location Linton 67 14 Subdivision name block no. lot no. • County Palm Beach - District name if applicable Owner of Site: Name Patricia Carter and Louise l3endtelt Address • 828 N.W. 6th Terrace •. Boca Raton, FL 33432-3506 Type of Ownership ' Private Recording Date 10/4/87 • Recorder: Name & Title Patricia Healy and Davdi Martin Address DBHPB • Condition of •Site: Integrity of Site: Original Use Check One Check One or More p Excellent M Altered Present Use Q Good Cl Unaltered Dates (94-1 Fair Mi Original Use Cultural/Phase CI Deteriorated D Restored/Date Period 0 Moved/Date UR Classification Category Date listed on NR Threats to Site: Check One or More Mt oning []Transportation gal Development ' D Fill A Deterioration 0 Dredge Q Borrowing D Other (See Remarks Below) Areas of Significance: sec j4{�,wirentre Significance: U w• -: 0905 X!14V0014 • • Architect • Builder • Style and/or Period le14, F'Z. Plan Type Exterior Fabric(s)_ AZ; t, 1i7 '1 A c= 3 Structural System(s) J� 3 i TI- o ? qp- Porches , • • • Orientationj(- Foundation • Roof Type Secondary Roof Structure(s) • Roof Surfacing APsrtek.T t.t LE Window • Ornament Exterior Chimney cfssi Chimney Location }{ No. of Chimneys No. of Stories 1 No. of Dormers Outbuildings Surroundings Map Reference (incl. scale & date) Latitude and Longitude: • " 'Site Size (Approx. Acreage of Property) LOCATION SKETCH OR MAP PI Township Range Section ---� 1 • fV 2nd. ST- 7 UTM Coordinates: • • It cZ Zone Easting Northing ►n . cTvcCT • Photographic Records Number Please attach Photographic Print er Paye 1 HISTORICAL STRUCTURE FORM Site# 8PB10590 Original FLORIDA MASTER SITE FILE Recorder# 213 Vitiate ❑ Consult Guide To Historical Structure Forms for detailed Instructions Recorder Date 11/2001 Site Name 114 NE 1st Avenue Other Names None Project Name City of Delray Beach Historic Resources Survey, Phase II Historic Contexts WWII &Aftermath National Register Category Building LOCATION and IDENTIFICATION Address 114 NE 1st Avenue Vicinity of East side, between NE 1st Street and NE 2nd Street City Delray Beach County Palm Beach Ownership Private Subdivision Block# Lot# MAPPING USGS Map Delray Beach 1962 PR 1969&1973 Township 46S Range 43E Section 16 Quarter NW Qtr Qtr SW Irregular Section ❑ UTM Zone 17 Easting 0592487 Northing 2927411 Land Grant Unknown Latitude N/A Longitude N/A Plat or Other Map Aerials HISTORY Architect/Builder Unknown Construction Date 1941 Circa ❑ Alterations V Date 1989 Type Re-roof Additions ❑ Date N/A Type N/A Milled ❑ Original Location N/A inal Use(s) Private Residence Present Use(s) Private Residence DESCRIPTION Style Frame Vernacular Exterior Plan Rectangular Interior Plan Unknown Stories 1 Structural System Wood Frame Exterior Fabric Weatherboard Foundation Pier Foundation Materials Concrete Block Foundation Infill N/A No. of Porches 1 Locations/Features E/one bay/shed roof/square wood posts Dormers ❑ Number/Location N/A Outbldgs. ❑ Number 0 Nature/Location (Describe below) N/A Roof Type Gable, Shed Roofing Materials Composition Shingle Secondary Structures ❑ Comments/Location N/A Chimneys V Number 1 Orientation North Location Slope, Exterior Materials Brick Wood Windows Type DHS Light# 6/6 Metal Windows ❑ Type N/A Light# N/A Exterior Ornament Cornerboards, Rafter Tails,Vents,Vertical Wood in the gable end Condition Good Surroundings Residential Narrative (general, interior, landscape, context; 3 lines only) This private residence features wood Bahama shutters over all the windows, a battered chimney, and original screens over the windows. Archaeological Remains Present ❑ None Observed FMSF Archaeological Site Form Completed (if yes, attach) ❑ Printed Tuesday,May 07,2002 Pa'Oe 2 HISTORICAL STRUCTURE FORM Site# 8PB10590 Consult Guide To Historical Structure Forms for detailed instructions RECORDER'S EVALUATION OF SITE 4ble for National Register? Yes ❑ No Likely, Need Information ❑ Insufficient Information ❑ Significant as Part of District? Yes ki No ❑ Likely, Need Information ❑ Insufficient Information ❑ Significant at Local Level? Yes No ❑ Likely, Need Information ❑ Insufficient Information ❑ Areas of Significance Community Planning And Development Summary of Significance This building is associated with the developmental history and exhibits the architectural elements of the Old School Square area during the 1940s. Due to its historical and architectural significance,this building could contribute to the locally listed Old School Square Historic District,when the historic district is re-evaluated and the period of significance is expanded to include later historic resources. DHR USE ONLY OFFICIAL EVALUATIONS DHR USE ONLY DATE LISTED ON NATIONAL REGISTER DATE KEEPER DETERMINATION OF ELIGIBILITY DATE YES NO SHPO_EVALUATION OF ELIGIBILITY DATE YES NO LOCAL DETERMINATION OF ELIGIBILITY DATE YES NO LOCAL OFFICE DOCUMENTATION Research Methods Past sites and surveys search at FMSF, Building Permits, Local and Non-Local Library Research Bibliographic References Delray Beach Historic Sites Survey, 1987; Delray Beach Historic Resources Report, 1999 Location of Negatives Janus Research Negative Numbers Roll 2184-15, Exp.5 Facing NW RECORDER INFORMATION Recorder Name Susan Daniel,Skye Wheeler,Jennifer Bradley Recorder Affiliation JANUS RESEARCH,2935 First Avenue North,St. Petersburg, Florida 33713 Telephone 727-821-7600 REQUIRED: 1. USGS 7.5' MAP WITH STRUCTURES PINPOINTED IN RED 2. LARGE SCALE STREET OR PLAT MAP 3. PHOTO OF MAIN FACADE,PREFERABLY B&W,AT LEAST 3x5 Printed Tuesday,May 07,2002 t PHOTOGRAPH /, , it is % c AP: l ,h rt.. , 1 'Pi 1 ki i 144 �� ► , / ��il�r"4 �- , .' •Itj It s r ;y,r k -)-.-ii,:f.-f:.-„,.- ifittpui,,r-,1,!'"; ii,,,.--j. , , ":„ , ,';1(,,,; ,..,i i ., ‘, 4/,',,,,.„,,,‘. N, , ,, I ' ' • -7-'4;:-f''''''''.. ..01''''Ir''.1''''c'\' k‘\:V°'''''':II Iiiiiiir 'o'f'`..'' ' '• • • ../ i Nit\ •��. 7, } •s. ."� ; r � Y�� ; -t I .4 ` ` -S� t" � � ' : L � IP, r►' t � f7� ; ; '' � pp�� AI � 1 :.s 7. , ,� > 4 :{, f -y . Yl }., °yn: ' 1 lid ._.. ... .,. * SKETCH MAP MARTIN LUTHER KING BLVD / NE 2ND ST l CL —3 —` ❑ I I El E--fr l_ C 5: V L1' ZFi 2 �_ a C I Z Wtl ' (!)'14\\ 121 ._ . 1 El 5---------- 8PB10590 1_7orr-hiql -- 5— - 1ci I 1 o 51§1..) LL,21- NE 1ST ST ' USGS QUADRANGLE MAP ayl_t. ,.4 d•__ ' J+" r 1.:-71 .. �!� t,,1Y;"' "y4 �"-y .>rc �, s lu fi',fI G lilt ' _it .14t.v".. ...f7+4 ti` __ '�.. ` t" ?'--.- '°--- _ r- -'� •:1l" , ',"I'' .,.*' L 4 C '."j"`rr .''. 7r15 --� ,,.y P —��"'a_�. ,1 4 ,.,, L.,f z. ti.. 9 • yyA'+ VC d 1• ti • �f : --' ....''T- ,.--..-- -7. ` '',1 - ------e-;1`-':' ' --*7'4#*''''."t'"..'''''''''t..54-i'°‘:,-?--;F -47 ".Ps'.":"It, .7;:t,'.i - - ' ' ''. , ' `, •L. . ) �._ ly th� �, ' l ! { 1 I ,a0!,_,_--'...... c............likal,tip __. r. . .,,,,.1] i-. I lit!:J .1 , ',. .$.1,,.: :' . ',r‘ 'I.,. ir c.••. . • .,... 1. ' � ( :: Ifs-• y{+,F,.....�� t 11J i��,.,..._ . .. �I 1 , .� k k`{5 i1 � :: ' ly , +—4 ....., , „ 1'' s ,} br u t 1.. .._.;__.1 ,..,..,-..,-- 1 7 1"77.iitiFP "' gl - Cl. ;40 1. A.n.'; �1._. 1� •1 - '* .. r i -tit J .. _ 1 . 11 F y—I r. '1r' - 4 .t '`) y }}. 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'a ■ a •t i 1 t.r • t- Y—'--ask,_ 111 { ,� fk�.I ___1 r -..' ; 1 E`i, ,,' 1',E•■ 1 1 f:' ... • - - t1 r t.- 1 ,—}1 r + ..1 •.{1' r t� i a��■tj• 1 • s i� ..�1 . tt 4= _ 1 oaa `![' I. .. . \. e ': :,,,.,,. ...'''''. :, . . : . ...,, Location of 8PB10590 �, 4 1 USGS Quadrangle;Delray Beach, Florida (1962, PR 1983) jl y' , _ Co r.^,e 1 Florida Master ,, "� \` Site#8 P810590 i HISTORICAL STRUCTURE FORM Recorder# Site Electronic Version 1.1.0 Field Date 3/2/2 0 0 5 !!!: File ��/ Form Date 3/30/2005 First Site Form Recorded for this Site? NO FormNo 200503 FormNo=Field Date(YYYYMM) GENERAL INFORMATION Site Name(address If none) 114 NE 1 Ave. Multiple Listing(DHR only) Other Names » Survey or 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 114 NE 1 Avenue Cross Streets(nearest/between) NE 1/NE 2 Streets City 1 Town(within 3 miles) Delray Beach In Current City Limits? YES County Palm Beach Tax Parcel#(s) 12-43-46-16-01-067-0140 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: 1/4section: » 46S ;43E ;16;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 1 Structural System(s) » Wood frame Other Structural System(s) Foundation Type(s) » Continuous Other Foundation Types Foundation Material(s) » Concrete Block Other Foundation Material(s) Exterior Fabric(s) » Weatherboard Other Exterior Fabric(s) Roof Type(s) » Gable Other Roof Type(s) Roof Material(s) » Asphalt Shingles Other Roof Material(s) Roof Secondary Structure(s)(dormers etc) » Other Roof Secondary Structure(s) Number of Chimneys 1 Chimney Material Brick Other Chimney Material(s) Chimney Location(s) Pitched roof; exterior Page 1 of 3 C- 1 HISTORICAL STRUCTURE FORM 8PB10590 DESCRIPTION (continued) Window Descriptions 6/6 DHS, wood Main Entrance Description(stylistic details) A walkway leads to the porch. Porches: #open 1 #closed #incised Location(s) Facade Porch Roof Types(s) Shed Exterior Ornament Cornerboards, exposed rafter tails, sawtooth gable end boards, and molded window frames Interior Plan Unknown Other Interior Plan Condition Excellent 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 1941 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;1941; 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 for individual designation and NRHP listing, it still contributes to the district as a representative example of domestic architecture from the district's period of significance. Page 2 of 3 HISTORICAL STRUCTURE FORM 8PB10590 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: I RECORDER INFORMATION Recorder Name(Last,First) Hyland, Mattew; Tuk, Jared RecorderAddresslPhone 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 I ****** 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: 3/30/2005 1 77/1/11\I \ Form Comments: N � \° is 1 y 1 , 1 < , -:til I _-;,rsh '4"� ,• '1" - . --.4, - 4 f, . , ',.Y0 I 1 1 i •..:.a' '.... PAPER (2) LARGE SCALE STREET OR PLAT MAP ATTACHMENTS (3) PHOTO OF MAIN FACADE, B&W, AT LEAST 3"X5" Page 3 of 3 PB10590-200503 Supplementary Printout > USGS map name/year of publication or revision: DELRAY BEACH;1986 > Township/Range/Section/Qtr: 46S;43E;16;UNSP > Structural system(s): Wood frame > Foundation types: Continuous > Foundation materials: Concrete Block > Exterior fabrics: Weatherboard > Roof types: Gable > Roof materials: Asphalt Shingles > Roof secondary structures(dormers etc): > Change status/year changed/date noted/nature: > Original, intermediate, present uses/year started/year ended: Private residence;1941; > 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 • • V 1!$t JT < ' a - -�,_ . 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