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219 NE 5th Street - FMSF Florida i Master ,`. site#a PB10741 u �I�tw ,� HIS1 URICAL STRUCTURE FORM Recorder# Sit File - � Electronic Version 1.1.0 Field Date 12/12/2008 Form Date 12/16/2008 First Site Form Recorded for this Site? NO FormNo 200812 FormNo=Feld Date(YYYYMM) GENERAL INFORMATION Site Name(address If none) 219 NE 5 Street Multiple Listing(DHR only) Other Names Survey or Project Name Del-Ida Park Historic District Survey# National Register Category Building(s) LOCATION & IDENTIFICATION Address Street No. Direction Street Name Street Type Direction Suffix 219 NE 5 Street Cross Streets(nearest/between) NE 5 St. bet. 2 & 3 Ave. City/Town(within 3 miles) Delray Beach In Current City Limits? YES County Palm Beach Tax Parcel#(s) 12-43-46-09-29- Subdivision Name Del-Ida Park 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 ;9;UNSP 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) >> 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) Page 9 of 3 r HIS' RICAL STRUCTURE FO 7 8PB10741 DESCRIPTION (continued) Window Descriptions Main Entrance Description(stylistic details) Porches: #open #closed #incised Location(s) Porch Roof Types(s) Exterior Ornament Interior Plan Other Interior Plan Condition Structure Surroundin•s Commercial:NONE of this category Residential: ALL 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 1950 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;1950; Other Structure Uses Ownership History(especially original owner,dates,profession,etc.) RESEARCH METHODS Research Methods >> Building permits Other research methods Sanborn maps; FMSF records SURVEYOR'S EVALUATION OF SITE Potentially Eligible for a Local Register? NO Name of Local Register if Eligible Del-Ida Park Historic District Idividually Eligible for National Register? NO Potential Contributor to NR District? NO Area(s)of historical significance >> Architecture Other Historical Associations Explanation of Evaluation(required) Modest example of contemporary residential designs in the 1950s. Not a contributing structure. Page 2 of 3 HIST tICAL STRUCTURE FO] 8PB10741 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 ****** 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 3of3