Guide to the Historical Structure Form Version 5.0 Florida Department of State Division of Historical Resources Bureau of Historic Preservation March 2019 Guide to the Historical Structure Form, v5 .0 Page| 2 TABLE OF CONTENTS INTRODUCTION ................................................................................................................................................................. 5 Shaded Areas: An Explanation ........................................................................................................................................ 5 Digital PDF Forms, an Alternative to Paper Forms ............................................................................................................ 5 REQUIRED ATTACHMENTS FOR THE HISTORICAL STRUCTURE FORM ...................................................................................... 6 General Requirements for Attachments ........................................................................................................................... 6 USGS 1:24,000 Scale Topographic Maps (Required) ...................................................................................................... 6 Street or Large Scale map (Required) .............................................................................................................................. 6 Photographs (Required) ................................................................................................................................................. 6 FIELD DESCRIPTIONS FOR THE HISTORICAL STRUCTURE FORM ............................................................................................. 8 GENERAL INFORMATION ..................................................................................................................................................... 8 Original / Update ........................................................................................................................................................... 8 Recorder # ..................................................................................................................................................................... 8 Site Name(s) .................................................................................................................................................................. 9 Multiple Listing # - for use by Site File staff only – leave blank ......................................................................................... 9 Survey Project Name ...................................................................................................................................................... 9 FMSF Survey # - for use by Site File staff only – leave blank ............................................................................................. 9 National Register Category ............................................................................................................................................. 9 Ownership .................................................................................................................................................................... 10 LOCATION & MAPPING ...................................................................................................................................................... 10 Address ....................................................................................................................................................................... 10 Cross Streets ............................................................................................................................................................... 10 USGS 7.5' Map Name & Date ...................................................................................................................................... 10 Plat or other map ......................................................................................................................................................... 11 City/Town .................................................................................................................................................................... 11 In City Limits? .............................................................................................................................................................. 11 County ......................................................................................................................................................................... 11 Township, Range & Section .......................................................................................................................................... 11 Township ..................................................................................................................................................................... 11 Range .......................................................................................................................................................................... 12 Section ........................................................................................................................................................................ 12 ¼ Section .................................................................................................................................................................... 12 Tax Parcel #’s ............................................................................................................................................................... 12 Landgrant .................................................................................................................................................................... 12 Subdivision Name ........................................................................................................................................................ 12 Block ........................................................................................................................................................................... 13 Lot # ............................................................................................................................................................................ 13 UTM Coordinates.......................................................................................................................................................... 13 UTM: Zone .................................................................................................................................................................... 13 UTM: Easting ................................................................................................................................................................ 13 UTM: Northing .............................................................................................................................................................. 13 Other Coordinates ........................................................................................................................................................ 13 Name of Public Tract .................................................................................................................................................... 14 HISTORY ........................................................................................................................................................................... 14 Construction Year ......................................................................................................................................................... 14 Original Use, Current Use and Other Use ....................................................................................................................... 14 Moves .......................................................................................................................................................................... 14 Alterations ................................................................................................................................................................... 15 Additions ..................................................................................................................................................................... 15 Guide to the Historical Structure Form, v5 .0 Page| 3 Architect ...................................................................................................................................................................... 15 Builder ......................................................................................................................................................................... 15 Ownership History ........................................................................................................................................................ 15 Is the Resource Affected by Local Preservation Ordinance? ........................................................................................... 15 DESCRIPTION ................................................................................................................................................................... 15 Style ...........................................................................................................................................................................