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122 SE 1st Avenue - FMSF • Florida Site#8 PB12983 WMaster 74 = s HISTORICAL STRUCTURE FORM Recorder# Site lin Electronic Version 1.1.0 Field Date 3/2/2005 File �iiForm Date 3/29/2005 First Site Form Recorded for this Site? YES FormNo 200503 FormNo=Field Date(YYYYMM) GENERAL INFORMATION Site Name(address If none) 122 SE 1 -sue 7.6,03-eANAAe_ Multiple Listing(DHR only) Other Names » Haven 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 122 SE 1 Avenue Cross Streets(nearest!between) SE 2/ SE 1 streets City I Town(within 3 miles) Delray Beach In Current City Limits? YES County Palm Beach TaxParcel#(s) 12-43-46-16-01-070-0120 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: 114section: » 46S 'i;43E ;16;UNSP Irregular Section Name: Landgrant UTM:Zone Easting Northing Plat or Other Map(map's name,location) DESCRIPTION Style Masonry Vernacular Other Style Exterior Plan Rectangular Other Exterior Plan Number of Stories 1 Structural System(s) » Masonry - General Other Structural System(s) Foundation Type(s) » Continuous Other Foundation Types Foundation Material(s) » Concrete Block Other Foundation Material(s) Exterior Fabric(s) » stucco Other Exterior Fabric(s) Roof Type(s) » Flat Other Roof Type(s) Roof Material(s) » Built-up 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 f HISTORICAL STRUCTURE FORM 8PB12983 DESCRIPTION (continued) Window Descriptions 2/2 DHS, wood Main Entrance Description(stylistic details) A concrete walkway along side of the building leads to six doors with patios. Porches: #open #closed #incised Location(s) Facade Porch Roof Types(s) Underneath the principal roof Exterior Ornament Masonry veneer on facade between windows. 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 1 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 c1955 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;c1955; 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 does not warrant individual designation or NRHP listing, it contributes to the district as a representative example of multiple unit domestic architecture from the period of significance. Page 2 of 3 HISTORICAL STRUCTURE FORM 8PB12983 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) Hyland, Mattew; Tuk, Jared RecorderAddress/Phone 618 East South Street, Orlando, Florida, 32801 407.423.8398 Recorder Affiliation GA' 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: 3/29/2005 Form Comments: Qt" 1 ,0'�Y R. _ , . , , i . a 11 ' .41 IA REQUIREL PAPER (2) LAI-ZGE SCALE STREET OR PLAT MAP ATTACHMENTS (3) PHOTO OF MAIN FACADE, B&W, AT LEAST 3"X5" Page 3 of 3 •1 PB 12983-200503 Supplementary Printout > USGS map name/year of publication or revision: DELRAY BEACH;1986 > Township/Range/Section/Qtr: 46S;43E;16;UNSP > Structural system(s): Masonry-General > Foundation types: Continuous > Foundation materials: Concrete Block > Exterior fabrics: Stucco > Roof types: Flat > Roof materials: Built-up > Roof secondary structures(dormers etc): > Change status/year changed/date noted/nature: > Original, intermediate, present uses/year started/year ended: Private residence;c1955; > 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)]: Haven Page 1 Of 1 , • " .. . i • . , . . , • . . . . • ,.. , . . . , . .. , . . i . i.. . .. 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"�"� "`.r,.,..� .x' Y"".,�!,`""�«.....«_.... 4�'°°' j jf' f,.�'" ..+�.7t�.:M _ 1 r ^r a Florida , fMaster , f : " . `a HISTORICAL STRUCTURE FORM Recordderte # PB12983 Site r 'tirialA Electronic Version 1.1.0 Field Date i File \,_ / Form Date 9/18/2oos First Site Form Recorded for this Site? NO FormNo 190001 FormNo=Field Date(YYYYMM) GENERAL INFORMATION Site Name(address If none) 122 sE 1 Ave. Multiple Listing(DHR only) ....................._._.._._.__.. Other Names >> Haven 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 122 SE 1 Avenue Cross Streets(nearest/between) SE 1 V. bet. 1 *ve. & 2 St. City/Town(within 3 miles) Delray Beach In Current City Limits? YES County Palm Beach Tax Parcel#(s) 12-43-46-16-01-070-0120 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;IINSP Irregular Section Name: Landgrant UTM:Zone 17 Easting Northing Plat or Other Map(map's name,location) DESCRIPTION Style Masonry Vernacular Other Style Exterior Plan Rectangular Other Exterior Plan Number of Stories 1 Structural System(s) >> Masonry - General Other Structural System(s) Foundation Type(s) >> continuous Other Foundation Types Foundation Material(s) >> Concrete Block Other Foundation Material(s) Exterior Fabric(s) >> stucco Other Exterior Fabric(s) Roof Type(s) >> Plat Other Roof Type(s) Roof Material(s) _ >> Built-up 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 s HISTORICAL STRUCTURE FORM 8PB12983 DESCRIPTION (continued) Window Descriptions Double hung sash, 2/2, wood Main Entrance Description(stylistic details) Porches: #open #closed #incised Location(s) Porch Roof Types(s) under main roof 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 c1955 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 >> Apartment c1955; 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? NO Name of Local Register if Eligible old School sure 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 8PB12983 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 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 0f3