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124 NW 4th Avenue - FMSF 4 I Florida �, site#$ - Master HISTORICAL STRUCTURE FORM Recorder# Site �l�I • File `ice' T Electronic Version 1.1.0 Field Date 10/31/2008 Form Date 11/5/2008 First Site Form Recorded for this Site? YES FormNo 200810 FormNo=Field Date(YYYYMM) GENERAL INFORMATION Site Name(address If none) 124 N.W. 4 Ave. Multiple Listing(DHR only) Other Names » Surveyor Project Name West Settlers Historic District Survey# National Register Category Building(s) LOCATION &IDENTIFICATION Address Street No. Direction Street Name Street Type Direction Suffix 124 NW 4 Avenue Cross Streets(nearest/between) N.w.4 Ave. bet. 1&2 St. City/Town(within 3 miles) Delray Beach In Current City Limits? YES County Palm Beach Tax Parcel#(s) 12-43-46-17-05-000-012 Subdivision Name Town of Linton Block 27 Lot 12 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 ;17;t7NSP Irregular Section Name: Landgrant UTM:Zone 17 Easting 59185 Northing 292722 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) >> Concrete block Other Structural System(s) Foundation Type(s) >> Continuous Other Foundation Types Foundation Material(s) >> Poured Concrete Footing Other Foundation Material(s) Exterior Fabric(s) >> stucco Other Exterior Fabric(s) Roof Type(s) » Hip Other Roof Type(s) Roof Material(s) >> composition'shingles 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) Pagel of3 4 • HISTORICAL STRUCTURE FORM 8 DESCRIPTION (continued) Window Descriptions Aluminum awning Main Entrance Description(stylistic details) Porches: #open 1 #closed #incised Location(s) Facade Porch Roof Types(s) Flat Exterior Ornament Metal porch supports and railing; scored stucco water table and quoins. Interior Plan Other Interior Plan Condition Fair Structure Surroundin•s Commercial:SOME of this category Residential: MOSTly this category Institutional: Undeveloped: Ancillary Features(Number/type of outbuildings,major landscape features) Archaeological Remains(describe): If archaeological remains are present,was an Archaeological Site Form completed? Narrative Description(optional) Modest vernacular residence typical of post World War II construction. Interesting use of low hip roof for late period of construction. HISTORY Construction year 1955 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 History Use Year Use Started Year Use Ended >> Private residence;1955; Other Structure Uses Ownership History(especially original owner,dates,profession,etc.) RESEARCH METHODS Research Methods >> Building permits Other research methods Sanborn maps; FMSF forms SURVEYOR'S EVALUATION OF SITE Potentially Eligible for a Local Register? YES Name of Local Register if Eligible West Settlers Historic District Idividually Eligible for National Register? NO Potential Contributor to NR District? NO Area(s)of historical significance >> African American Other Historical Associations Explanation of Evaluation(required) Typical post World War II development. Interesting use of low hip roof for late period of construction. Page 2 of 3 HISTORICAL STRUCTURE FORM 8 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. 305-446-7799 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 r y ,, M. xxr_ 4L .i s ; �r y j& .4 .i,,, :,;: i.k4. . ,.:::1..,-,,,.c,.... ., . .,. ,,, ,.:i.,„_:.,,,,,,i, 41-4;.;,.. ..,,...,,,,.,.,.,.,5:,. ....,„.\ ., :,,:„., *,i, vt..._ ,.. . ,„. . ..,,,...,.,;...s.,.. 11111P":17.— - •• iti, 'J I k _ • , jtito _ - t,,.� r H 11 .-� 1_A .^ • ati, 1. `.7 r