Group Title: Historic St. Augustine: Block 12 – Lot 19
Title: [Historic Preservation Grants-In-Aid Special Category Application and notes]
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Permanent Link: http://ufdc.ufl.edu/UF00094126/00035
 Material Information
Title: Historic Preservation Grants-In-Aid Special Category Application and notes
Series Title: Historic St. Augustine: Block 12 – Lot 19
Physical Description: Application/form
Language: English
Copyright Date: Public Domain
Physical Location:
Box: 4
Divider: Parades-Dedge House, Lot 19 Block 12
Folder: Parades-Dodge House
 Subjects
Subject: Saint Augustine (Fla.)
54 Saint George Street (Saint Augustine, Fla.)
Parades-Dodge House
Spatial Coverage: North America -- United States of America -- Florida -- Saint Johns -- Saint Augustine -- 54 Saint George Street
Coordinates: 29.896092 x -81.313202
 Record Information
Bibliographic ID: UF00094126
Volume ID: VID00035
Source Institution: University of Florida
Holding Location: University of Florida
Rights Management: All rights reserved by the source institution and holding location.
Resource Identifier: B12-L19

Full Text

Historic Preservation Grants-in-Aid Special Category Application


Project Summary: In the space provided below, briefly describe the project for which funding is requested.















10. Photograph: Attach 3x5 photograph of the principal view of the property. This photograph should be of
suitable quality and clarity for publication. Include additional photographs in Attachment C.

















11. Applicant grant history: *s the applicant or property received previous grant assistance from the
Department of State? Yes Y No If yes, specify year, amount of award, Division which awarded grant
and project assisted.


'


- End Application Summary -


Page Two of Eleven











Year


Amoun Dvso- Poet

Amount Division Project


1. 1978
Sites


$ 13,000 Division of
Historical
Resources


2. 1979 $101,000


3. 1984 $ 7,000



4. 1986 $ 8,410



5. 1988 $ 11,740


Historic Survey of St. Augustine


DeMesa House Restoration, St. Augustine


County Survey of Historic Sites,
St. Johns County


County Survey of Historic Sites,
St. Johns County


Ribera Gardens Development &
Interpretation


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Attachment A


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#9. This proposal is being submitted to request funds for the
restoration and rehabilitation of a one-half story Spanish
Colonial style structure. The building, which is known as the
Paredes-Dodge House, was constructed between 1803 and 1813 and is
located at 54 St. George Street. It is one of only 35 surviving
colonial structures remaining within the city of St. Augustine.

Presently it is used as a commercial property. However, it is the
intention of the Executive Director to restore this building and
interpret it as part of the Spanish Quarter Museum's living
history program. Thus, based on a staff analysis of the property,
work in the following areas needs to be carried out: preliminary
research regarding history, architecture, archaeology, paint
analysis; site work; repairs to concrete, masonry, doors/windows;
refinishing the interior, and mechanical and electrical work.









Amount Diiso Project
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Amount Oivlsioa Project


Year


1. 1978
Sites


$ 13,000 Division of
Historical
Resources


2. 1979 $101,000

3. 1984 $ 7,000


4. 1986 $ 8,410


5. 1988 $ 11,740


if,/g PZO


Historic Survey of St. Augustine



DeMesa House Restoration, St. Augustine

County Survey of Historic Sites,
St. Johns County

County Survey of Historic Sites,
St. Johns County

Ribera Gardens Development &
Interpretation



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HISTORIC ST. AUGUSTINE PRESERVATION BOARD/ SAN AGUSTIN ANTIGUO FOUNDATION, INC.


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_ Department
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Subject : A


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HSAPB Form No.20


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PROJECT BUDGET

12. Cost Estimate: Provide a detailed breakdown of estimated cost for each major work item for which grant
assistance is requested.


Total project costs for which grant funds are requested: _


i Local Cost Share: List the nature, sources and amount/value of:

(a) The local resources which have directly contributed to the evaluation, preservation, stabilization or
restoration of the property during the five (5) year period preceding the date of application.

(b) Resources available for the project for which grant assistance is requested.


Local Cost Share:


NOTE: A MINIMUM MATCHING CONTRIBUTION OF $50,000 TOWARD THE TOTAL COST OF
THE PROJECT MUST BE DOCUMENTED. Provide confirmation documentation for each item included
in Local Cost Share in Attachment B.

14. Community size: What is the current population of community in which the project site is located or the
nearest community to the project location? //, A _9

End Project Budget Section -


Historic Preservation Grants-in-Aid Special Category Application


Page Three of Eleven






Historic Preservation drants-in-Aid Special Category Application


PROJECT BUDGET

12. Cost Estimate: Provide a detailed breakdown of estimated cost for each major work item for which grant
assistance is requested.
















Total project costs for which grant funds are requested:


13. Local Cost Share: List the nature, sources and amount/value of:

(a) The local resources which have directly contributed to the evaluation, preservation, stabilization or
restoration of the property during the five (5) year period preceding the date of application.

(b) Resources available for the project for which grant assistance is requested.


Local Cost Share:__

NOTE: A MINIMUM MATCHING CONTRIBUTION OF $50,000 TOWARD THE TOTAL COST OF
THE PROJECT MUST BE DOCUMENTED. Provide confirmation documentation for each item included
in Local Cost Share in Attachment B.

14. Community size: What is the current population of community in which the project site is located or the
nearest community to the project location? / 9a_____

End Project Budget Section -


Page Three of Eleven

























#12. The cost estimate for the restoration of the Paredes-Dodge
House is as follows:


1. Preliminary Research
Paint Analysis $600
Architectural drawings $5,000
2. Site Work
Landscape garden (historic) $8,500
3, Concrete and Masonry
Grind, Repair tabby floor $5,000
Replace coquina 2nd story wall$2,200
4. Structural
Stabilize structural steel implants
5. Carpentry
Rebuild roof rafters 8,800
Remove shingles and replace with hand


$1,800


split shakes


$8,500
Reconfigure roof and correct overhang and front facade work
4,100
Re-build rear room, stairs 9,400
Re-deck 5/4 X 8 roof 6,200
6. Doors and Windows
Replace front windows, 1st story 3,600
Repair, restore 2nd story windows 2,000
Construct historic shutters 1,500
7, Finishes
Repair or replaster interior 4,600
Repair plaster on front exterior 1,000
Repair, restore, replace interior details, remove inappropriate
partitions 9,000
Historic hardware (hand forged) 2,200

8. Mechanical
Rebuild historic well in yard 3,200
9. Electrical
Remove and reconfigure electrical service 2,500
Rewire electrical 1,800
Fixture allowance 1,000
HVAC (5 tons) 6,000

Total construction costs $ 7 1


























#12. The cost estimate for the restoration of the Paredes-Dodge
House is as follows:


1. Preliminary Research
Paint Analysis $
Architectural drawings $

2. Site Work
Landscape garden (historic) $

3, Concrete and Masonry
Grind, Repair tabby floor $
Replace coquina 2nd story wall$

4. Structural
Stabilize structural steel implants

5. Carpentry
Rebuild roof rafters
Remove shingles and replace with hand
$
Reconfigure roof and correct overhang

Re-build rear room, stairs
Re-deck 5/4 X 8 roof

6. Doors and Windows
Replace front windows, 1st story
Repair, restore 2nd story windows
Construct historic shutters


7, Finishes
Repair or replaster interior
Repair plaster on front exterior
Repair, restore, replace
inappropriate partitions
Historic hardware (hand forged)


interior


8. Mechanical
Rebuild historic well in yard

9. Electrical
Remove and reconfigure electrical service
Rewire electrical


600
5,000


8,500


5,000
2,200


$1,800


8,800
split shakes
8,500
and front facade work
4,100
9,400
6,200


3,600
2,000
1,500


4,600
1,000
details,
9,000
2,200


remove


3,200


2,500
1,800




Fixture allowance
HVAC (5 tons)


Total construction costs


1,000
6,000


$98,500


#13. The local cost share is varied in nature, and consists of:
(a) During the five years preceding the date of this application,
the local resources contributing to the preservation of the
Paredes-Dodge House has consisted of regular maintenance carried
out by the staff of the SAAFI/HSAPB.
(b) The resources available for the restoration of the Paredes-
Dodge House are considerable and are listed below:


1. Preliminary Research
a. Historic/Architectural Research
300 hours @ $13.60
b. Archaeological Research
450 hours @$15.36
c. Archaeological Excavation of well
375 hours @ $15.36


4,080

6,912

5,760


2. Site Work
a. Historic research for landscaping plan for garden
100 hours @ $13.60 1,360
b. Remove 2nd story 1949 partition
--- hours $2,000
c. Remove 2nd story floor, 1949 partition
--- hours 2,225
d. Remove building in rear yard 1,200


3. Structural
a. Remove later iron grates on windows

4. Finishes
a. Paint exterior (historic)
b. Paint interior (historic)

5. Mechanical
a. Remove existing plumbing

6. Clerical, Accounting, Maintenance

7. Project Administration -
SAAFI/HSAPB Executive Director
--- hours @ $--------


150


6,800
8,900


1,500





Historic Preservation rants-in-Aid Special Category Application


PROPERTY DESCRIPTION
15. Age of property: Indicate date of construction of property and dates of major alterations or additions
(period of significance for archaeological site).


16.
17.
18.
/19.


Original and significant historic uses: Dt 3 COe t-.CssIf "
Present use: -73y^ '^ 2 6/ /,vi '12C>L) V
Proposed use: 1 )S52' r ^ jA ^/ *;
Statement of significance: In the space provided below, explain why the property or site is historically,
architecturally or archaeologically significant.


20. Historical designation: Which of the following is applicable to this property?
Individually listed in the National Register Located in a designated local district
*0* Located in a National Register district Designated as a local landmark
None of the above


If in a district, provide the official name of the district:
05?7 OF" C' 7"9 V V


21. Protection of property: Indicate any type of local protection currently afforded the property. Provide the
required documentation in Attachment G.
V Architectural review under the provisions of a local historic preservation ordinance
Preservation or conservation easement
Protective covenants
Other (specify):
None of the above


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Page Four of Eleven


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Historic Preservation Grants-in-Aid Special Category Application


PROPERTY DESCRIPTION

15. Age of property: Indicate date of construction of property and dates of major alterations or additions
(period of significance for archaeological site).

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Original and significant historic uses: / J3 y ffe y

Present use: Cd a ",- /'/- CL)_L CL-^Q.^t- -2?

Proposed use: t[^%1 $f/.p4 f% ^//4 ^___

Statement of significance: In the space provided below, explain why the property or site is historically,
architecturally or archaeologically significant.


20. Historical designation: Which of the following is applicable to this property?

S Individually listed in the National Register _/ Located in a designated local district
Located in a National Register district Designated as a local landmark
None of the above


If in a district, provide the official name of the distri

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21. Protection of property: Indicate any type of local protection currently afforded the property. Provide the
required documentation in Attachment G.

/ Architectural review under the provisions of a local historic preservation ordinance
Preservation or conservation easement
Protective covenants
Other (specify):
None of the above


1


Page Four of Eleven


( -


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#19. The Paredes-Dodge House, for which SAAFI is seeking funds to
restore and rehabilitate, is significant for its historic,
architectural and archaeological values. The building has strong
historic ties and associations; it is located in the north end of
St. George Street contiguous to the oldest buildings in St.
Augustine and, because of its ownership, related to the history
of the local Minorcan community. Architecturally it is a good
example of the Spanish Colonial style, of which there are only 35
such structures remaining in the city. It has a number of typical
characteristics of this architectural period: street-line
construction;, foundation and wall construction using coquina;
rectangular ground plan; double-hung sash windows, and stucco
over coquina exterior finish. As with other properties owned by
SAAFI, an archaeological exploration of this site would yield
valuable data.






Historic Preservation Grants-in-Aid Special Category Application


22. Threat: Is the property threatened? Yes No V If so, briefly describe the nature of threat and
indicate its immediacy.














23. Condition of property: Indicate, b checking the appropriate box, the present condition of the property.

Excellent Good _Fair Poor

List any specific factors or problems which contribute to the present condition of the property:


- End of Property Description Section -


Page Five of Eleven





















SThe property is in good condition, as it has been a rental
property and conforms to all appropriate ordinances. However, in
order to properly interpret the Paredes-Dodge House as a living
history property, circa 1803-1813, numerous changes must be
undertaken. The specific work that will be accomplished through
restoration has been outlined elsewhere in this proposals.
Principally, the restoration would encompass substantial
preliminary research, site work, and structural, finishing and
metal work.


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Historic Preservation Grants-in-Aid Special Category Application


PROJECT PLANNING

24. Applicant's administrative capability: Describe your organization's past grant experience or the resources
available to meet the administrative requirements of a grant, should it be awarded.


















25. Maintenance/protection/curation: Describe the means by which the historic property or archaeological
site affected by this project will be maintained and protected subsequent to project completion. For
archaeological projects in which the site will not be maintained or protected subsequent to excavation,
describe plans for curation of recovered artifacts.


















26. Project planning: For the appropriate project type, indicate the highest level of project planning completed.


Architectural
Schematics
/Construction documents
V Other


Archaeological
Research design
Excavation
Analysis, curation,
conservation
Other


Acquisition
Outline management plan
Complete management
plan
Other


If other, describe: 22i /ti. ? ,,'e,!__


Page Six of Eleven




















PAREDES-DODGE HOUSE

24. Since 1978, SAAFI has received seven grants from the
Department of State, Division of Historical Resources.
Additionally, in 1984, the Board was awarded a $27,865 grant by
the Institute of Museum Services. More recently, in 1988 and
1989, the St. Johns County Tourist Development Board awarded
SAAFI a total of $29,400 for two programs. The successful
realization of all of these projects dramatically demonstrates
this agency's ability to effectively administer grant funds.



















PA EDES-DODGE HOUSE

-_Since 1978, SAAFI has received seven grants from the
-partment of State, Division of Historical Resources.
Additionally, in 1984, the Board was awarded a $27,865 grant by
the Institute of Museum Services. More recently, in 1988 and
1989, the St. Johns County Tourist Development Board awarded
SAAFI a total of $29,400 for two programs. The successful
realization of all of these projects dramatically demonstrates
this agency's ability to effectively administer grant funds.



















PA EDES-DODGE HOUSE

C ( /Since 1978, SAAFI has received seven grants from the
q--partment of State, Division of Historical Resources.
Additionally, in 1984, the Board was awarded a $27,865 grant by
the Institute of Museum Services. More recently, in 1988 and
1989, the St. Johns County Tourist Development Board awarded
SAAFI a total of $29,400 for two programs. The successful
realization of all of these projects dramatically demonstrates
this agency's ability to effectively administer grant funds.






















2 'Once the project is completed, the Paredes-Dodge House will
Become an integral part of the interpretive program of the
Spanish Quarter Museum. As such, it will be open to the public
and be the focus of a program of maintenance, protection and
curation equal to the standards typical of a member of the
American Association of Museums.

The plans call for archaeological excavation of the well on the
site. All recovered artifacts will be cataloged and a report will
be written by the staff archaeologist and published by SAAFI.















#20 This building is in a National Register district: St.
Augustine Historic District. IS it designated as a local
landmark; is there a definition for that in the application?

#21 You might check to see if there were protective covenants
imposed by SAHS in the deed.

#22 and 23 Without knowing what the intent of grant is, it is
difficult for me to address threat and condition. I would expect
that the granting agency would want some expert opinion about
architectural considerations and integrity with respect to #23,
condition. Certainly the condition itself could be a threat
<#22), but I can foresee no other immediate threats, i.e., road
expansion, erosion, demolition, etc.

#26 What ARE you going to put for level of project planning?






Historic Preservation Grants-in-Aid Special Category Application


27. Detailed Description of Project Work: Describe each major element of the project work in sufficient
detail to demonstrate that the work will be carried out in accordance with the Secretary of the Interior's
Standards.






















28. Tentative project timetable: On the graph below, indicate all major elements of the project for which
funding assistance is requested, the anticipated time required to complete each item, and the planned sequence of
these activities. Month 1 is the project start date. Projects should be completed within 12 to 18 months.

Project activity Month: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
A.
B.
C.
D.
E.
F.
G.
H.

Indicate any critical dates associated with the above timetable and explain why they are critical.


- End Project Planning Section -


Page Seven of Eleven






Historic Preservation Grants-in-Aid Special Category Application Page Seven of Eleven

Detailed Description of Project Work: Describe each major element of the project work in sufficient
detail to demonstrate that the work will be carried out in accordance with the Secretary of the Interior's
Standards.





















.Tentative project timetable: On the graph below, indicate all major elements of the project for which
funding assistance is requested, the anticipated time required to complete each item, and the planned sequence of
these activities. Month I is the project start date. Projects should be completed within 12 to 18 months.

Project activity Month: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18






E.
F.
G.
H.

Indicate any critical dates associated with the above timetable and explain why they are critical.






End Project Planning Section -























27. re will be four major stages in the restoration and
abilitation of the Paredes-Dodge House:

1. Planning this would include all preliminary research,
including the historic, architectural, archaeological and
interpretive aspects of the project.

2. Construction at this point, the structural modifications to
the building and site would be undertaken. It is possible that
the archaeological work on the well will also be carried out
during this time period.

3. Fabrication all of the construction relative to the historic
interpretation of the house would be completed.

4. Implementation all policies and procedures regarding the
interpretive program, staffing and marketing would be on-line. A
formal and official "opening" would be held as the final step in
presenting the completely restored structure to the public.






Historic Preservation Grants-in-Aid Special Category Application


PUBLIC BENEFIT

29. Educational benefit: Explain the educational benefits of the project.








30. Economic benefit: Describe any direct economic benefits of the project. How will the project serve as a
catalyst for further preservation activity and economic development in the area?








31. Public use: Indicate the extent to which the property will be accessible to the public upon completion.

4 Hours per day Days per week L Weeks per year

Will the property be fully accessible to the handicapped? Vles No. If no, provide a brief explanation:





Estimate the number of persons who annually will use or visit the completed facility (for archaeological
projects, if the site will not be accessible to the public, estimate the number of persons annually who will be
exposed to the interpretive materials and reports resulting from the project):





32. Benefit to minorities and the handicapped: Describe any direct benefit the project will have on a specific
ethnic minority population or community, or the handicapped.


- End Public Benefit Section -


Page Eight of Eleven





















29. The restoration and rehabilitation of the Paredes-Dodge House
will have educational benefits in several areas. Careful records,
including photographs and other documentation, will be kept of
the historical, architectural and archaeological information
uncovered during the course of work. Moreover, Juan Paredes was a
mariner and member of the Minorcan community, two aspects that
will be developed in the interpretation of the restored building,
which will become part of the Spanish Quarter Museum, expanding
its scope.

30. The restoration of the Paredes-Dodge House will have an
immediate and direct impact on the economy of the city of St.
Augustine. It is estimated that the project will cost $98,500 to
carry out, and the work will be undertaken by local contractors
and vendors, subject to State bidding procedures. Additionally,
the project will add to the knowledge of Spanish Colonial
architecture, especially regarding the Second Spanish Period,
1783 to 1821.


E C <8d The handicapped and the Minorcan community will
benefit directly from the restoration of the Paredes-Dodge House.
With the assistance of the Florida School for the Deaf and Blind,
special care will be taken to facilitate access to the structure.
Because of Juan Paredes connections to the Minorcan community,
this aspect of the history of St. Augustine will be more fully
developed and interpreted.


'4 'z-






Historic Preservation Grants-in-Aid Special Category Application


ACQUISITION PROJECT REQUIREMENTS

33. Acquisition funding request: /j

Full Purchase Amount: $
Purchase amount shall not exceed the value of the property as determined by the appraisal, the average of two
appraisals, if two were obtained, or the average of the closest two appraisals, if more than two were obtained.

Acquisition funding request: $
The maximum grant share for an acquisition project shall not exceed 50% of the Purchase Amount.

Area of property to be acquired (acres):

34. Minimum documentation checklist: The listed reports and instruments must be submitted with all
applications for acquisition grant assistance. These documents shall be included in the application submission
as Attachment F. /V4

SCertified survey of the property;

Five-year title search;

SIndependent appraisal (two appraisals are required if value of first appraisal exceeds $250,000);

Executed title insurance commitment;

Executed option or purchase agreement;

Outline management plan; and

Notarized agreement to execute protective covenants.

End Acquisition Project Requirements Section -


ADDITIONAL INFORMATION

35. State House of Representatives District number and name of State Representative for the project location:

District no. Representative: 4m.e'. C<

36. State Senate District number and name of State Senator for the project location:

District no. Senator: A /v 4 Ag

37. Congressional District number and name of U.S. Congressman for the project location:

District no. 4 Congressman: C --6/*


- End Additional Information Section -


Page Nine of Eleven





Historic Presrvation Grants-in-Aid Special Category Application Page Nine of Eleven

ACQUISITION PROJECT REQUIREMENTS

33. Acquisition funding request:

Full Purchase Amount: $
Purchase amount shall not exceed the value of the property as determined by the appraisal, the average of two
appraisals, if two were obtained, or the average of the closest two appraisals, if more than two were obtained.

Acquisition funding request: $
The maximum grant share for an acquisition project shall not exceed 50% of the Purchase Amount.

Area of property to be acquired (acres):

34. Minimum documentation checklist: The listed reports and instruments must be submitted with all
applications for acquisition grant assistance. These documents shall be included in the application submission
as Attachment F.

SCertified survey of the property;

Five-year title search;

Independent appraisal (two appraisals are required if value of first appraisal exceeds $250,000);

Executed title insurance commitment;

Executed option or purchase agreement;

SOutline management plan; and

Notarized agreement to execute protective covenants.

End Acquisition Project Requirements Section -


ADDITIONAL INFORMATION

35. State House of Representatives District number and name of State Representative for the project location:

District no. Representative: 4,s ,d9j '4....-

36.. State Senate District number and name of State Senator for the project location:

District no.4 Senator: r:_ _m_________ _a

37. Congressional District number and name of U.S. Congressman for the project location:

District no. 4 Congressman: C ie /, -7


- End Additional Information Section -





Historic Preservation Grants-in-Aid Special Category Application


46. Owner concurrence: If the applicant does not own the property, the owner of record must sign the following
statement indicating concurrence with the proposed project and this application for grant assistance.

I, the undersigned, am the owner of the property identified in item 3 of this application and hereby
acknowledge my support for an4 full concurrence with this application.

Name (print or type) //


Signature


Date


Address


City


State


Daytime telephone

47. Agreement to Execute Maintenance Agreement: For projects involving historic properties and those
involving archaeological sites which will be maintained subsequent to the completion, the owner, long-term
lessee or other responsible party must sign the following statement indicating agreement to execute a 10 year
maintenance agreement for the property, should a grant award be made.

I, the undersigned, am the duly authorized representative of the owner, long-term lessee, or _other
organization or agency having responsibility for maintenance of the property identified in item 3 of this
application subsequent to completion of the project for which funding is requested. I hereby indicate
agreement to execute a maintenance agreement through which the organization or agency I represent will
commit to maintenance of the referenced property in accordance with good preservation practice and the
applicable standards and guidelines of the Secretary of the Interior for a period of ten years from the date of
project completion. I further agree that the organization or agency will not make any modifications to the
property (other than routine repairs and maintenance) without review of the plans and specifications by the
Bureau of Historic Preservation and that every effort will be made to design any modifications in a manner
consistent with the applicable standards and guidelines of the Secretary of the Interior.

SName (print or tvve) At


'oSignature


Title:


Organization

. Address


City


Daytime telephone


- End Certifications Section -


- End of Application -


Date


State


SHOULD YOU HAVE QUESTIONS REGARDING ANY ASPECT OF THE APPLICATION, PLEASE
CONTACT THE GRANTS AND EDUCATION SECTION, BUREAU OF HISTORIC PRESERVATION
AT (904)487-2333.


Page Eleven of Eleven






Historic Preservation Grants-in-Aid Special Category Application


46. Owner concurrence: If the applicant does not own the property, the owner of record must sign the following
statement indicating concurrence with the proposed project and this application for grant assistance.

I, the undersigned, am the owner of the property identified in item 3 of this application and hereby
acknowledge my support for and full concurrence with this application.

Name (print or type) /___

Signature Date

Address

City State Zip

Daytime telephone

47. Agreement to Execute Maintenance Agreement: For projects involving historic properties and those
involving archaeological sites which will be maintained subsequent to the completion, the owner, long-term
lessee or other responsible party must sign the following statement indicating agreement to execute a 10 year
maintenance agreement for the property, should a grant award be made.

I, the undersigned, am the duly authorized representative of the owner, long-term lessee, or other
organization or agency having responsibility for maintenance of the property identified in item 3 of this
application subsequent to completion of the project for which funding is requested. I hereby indicate
agreement to execute a maintenance agreement through which the organization or agency I represent will
commit to maintenance of the referenced property in accordance with good preservation practice and the
applicable standards and guidelines of the Secretary of the Interior for a period of ten years from the date of
project completion. I further agree that the organization or agency will not make any modifications to the
property (other than routine repairs and maintenance) without review of the plans and specifications by the
Bureau of Historic Preservation and that every effort will be made to design any modifications in a manner
consistent with the applicable standards and guidelines of the Secretary of the Interior.

Wy O/ Name (print or type)

Signature Date

Title:

Organization

Address

City State Zip

Daytime telephone

End Certifications Section -

SHOULD YOU HAVE QUESTIONS REGARDING ANY ASPECT OF THE APPLICATION, PLEASE
CONTACT THE GRANTS AND EDUCATION SECTION, BUREAU OF HISTORIC PRESERVATION
AT (904)487-2333.


- End of Application -


Page Eleven of Eleven






Florida Department of State
Division of Historical Resources
DOS Form HR3E070689
HISTORIC PRESERVATION GRANTS-IN-AID
SPECIAL CATEGORY APPLICATION FORM


APPLICATION SUMMARY

Project No. (Assigned by Bireau of Historic Preservation)

1. Regional Planning District No.

2. Project title:

3. Location or address of project:

Address:

City: County:

For archaeological projects and remote historic properties which cannot be located by street address, provide
the following location information: Township Range Section Also, include a map which
clearly locates the site or property as Attachment A.

Indicate Florida Master Site File Number, if known:

4. Type of project: VArchitectural Archaeological -Acquisition

5. Applicant name & address:

Full name of organization:

Address:

City: State: Zip:__

Federal Employer Identification Number:

SAMAS No. (State agencies only):
6. Type of applicant: ZGovenment unit or agency Non-profit organization

7. Designated project contact:

Name: Title:

Business address:

City: State: Zip:

Daytime telephone:

8. Grant funds requested: Local Cost Share:


Page One of Eleven







Historic Preservation Grants-in-Aid Special Category Application


10. Photograph: Attach 3x5 photograph of the principal view of the property. This photograph should be of
suitable quality and clarity for publication. Include additional photographs in Attachment C.


11. Applicant grant history: fs the applicant or property received previous grant assistance from the
Department of State? Yes Y No If yes, specify year, amount of award, Division which awarded grant
and project assisted.


- End Application Summary -


9. Project Summary: In the space provided below, briefly describe the project for which funding is requested.


Page Two of Eleven








PROJECT BUDGET


12. Cost Estimate: Provide a detailed breakdown of estimated cost for each major work
assistance is requested.


item for which grant


13. Local Cost Share: List the nature, sources and amount/value of:,

(a) The local resources which have directly contributed to the evaluation, preservation, stabilization or
restoration of the property during the five (5) year period preceding the date of application.

(b) Resources available for the project for which grant assistance is requested.


Local Cost Share:

NOTE: A MINIMUM MATCHING CONTRIBUTION OF $50,000 TOWARD THE TOTAL COST OF
THE PROJECT MUST BE DOCUMENTED. Provide confirmation documentation for each item included
in Local Cost Share in Attachment B.

14. Community size: What is the current population of community in which the project site is located or the
nearest community to the project location?


- End Project Budget Section -


Page Three of Eleven


Historic Preservation Grants-in-Aid Special Category Application






Historic Preservation Grants-in-Aid Special Category Application


PROPERTY DESCRIPTION

15. Age of property: Indicate date of construction of property and dates of major alterations or additions
(period of significance for archaeological site).


16. Original and significant historic uses:_______

17. Present use:

18. Proposed use:

19. Statement of significance: In the space provided below, explain why the property or site is historically,
architecturally or archaeologically significant.


20. Historical designation: Which of the following is applicable to this property?


Individually listed in the National Register
Located in a National Register district


If in a district, provide the official name of the district:


Located in a designated local district
SDesignated as a local landmark
None of the above


21. Protection of property: Indicate any type of local protection currently afforded the property. Provide the
required documentation in Attachment G.

Architectural review under the provisions of a local historic preservation ordinance
Preservation or conservation easement
Protective covenants
S Other (specify):
None of the above


Page Four of Eleven







Historic Preservation Grants-in-Aid Special Category Application


22. Threat: Is the property threatened? Yes No If so, briefly describe the nature of threat and
indicate its immediacy.















23. Condition of property: Indicate, by checking the appropriate box, the present condition of the property.

Excellent Good Fair Poor

List any specific factors or problems which contribute to the present condition of the property:


- End of Property Description Section -


--


Page Five of Eleven






Historic Preservation Grants-in-Aid Special Category Application


PROJECT PLANNING

24. Applicant's administrative capability: Describe your organization's past grant experience or the resources
available to meet the administrative requirements of a grant, should it be awarded.
















25. Maintenance/protection/curation: Describe the means by which the historic property or archaeological
site affected by this project will be maintained and protected subsequent to project completion: For
archaeological projects in which the site will not be maintained or protected subsequent to excavation,
describe plans for curation of recovered artifacts.
















26. Project planning: For the appropriate project type, indicate the highest level of project planning completed.

Architectural Archaeological Acquisition
SSchematics Research design Outline management plan
Construction documents Excavation Complete management
SOther Analysis, curation, plan
conservation Other
Other

If other, describe:


Page Six of Eleven









27. Detailed Description of Project Work: Describe each major element of the project work in sufficient
detail to demonstrate that the work will be carried out in accordance with the Secretary of the Interior's
Standards.




















28. Tentative project timetable: On the graph below, indicate all major elements of the project for which
funding assistance is requested, the anticipated time required to complete each item, and the planned sequence of
these activities. Month 1 is the project start date. Projects should be completed within 12 to 18 months.

Project activity Month: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
A.
B.
C.
D.
E.
F.
G.
H.%

Indicate any critical dates associated with the above timetable and explain why they are critical.


- End Project Planning Section -


Page Seven of Eleven


Historic Preservation Grants-in-Aid Special Category Application






Historic Preservation Grants-in-Aid Special Category Application


PUBLIC BENEFIT

29. Educational benefit: Explain the educational benefits of the project.








30. Economic benefit: Describe any direct economic benefits of the project. How will the project serve as a
catalyst for further preservation activity and economic development in the area?








31. Public use: Indicate the extent to which the property will be accessible to the public upon completion.

Hours per day Days per week Weeks per year

Will the property be fully accessible to the handicapped? Yes No. If no, provide a brief explanation:





Estimate the number of persons who annually will use or visit the completed facility (for archaeological
projects, if the site will not be accessible to the public, estimate the number of persons annually who will be
exposed to the interpretive materials and reports resulting from the project):





32. Benefit to minorities and the handicapped: Describe any direct benefit the project will have on a specific
ethnic minority population or community, or the handicapped.


- End Public Benefit Section -


Page Eight of Eleven






Historic Preservation Grants-in-Aid Special Category Application Page Nine of Eleven

ACQUISITION PROJECT REQUIREMENTS

33. Acquisition funding request:

Full Purchase Amount: $
Purchase amount shall not exceed the value of the property as determined by the appraisal, the average of two
appraisals, if two were obtained, or the average of the closest two appraisals, if more than two were obtained.

Acquisition funding request: S
The maximum grant share for an acquisition project shall not exceed 50% of the Purchase Amount.

Area of property to be acquired (acres): _

34. Minimum documentation checklist: The listed reports and instruments must be submitted with all
applications for acquisition grant assistance. These documents shall be included in the application submission
as Attachment F.

Certified survey of the property;

Five-year title search;

SIndependent appraisal (two appraisals are required if value of first appraisal exceeds S250,000);

Executed title insurance commitment;

SExecuted option or purchase agreement;

SOutline management plan; and

Notarized agreement to execute protective covenants.

End Acquisition Project Requirements Section -


ADDITIONAL INFORMATION

35. State House of Representatives District number and name of State Representative for the project location:

District no. Representative:

36. State Senate District number and name of State Senator for the project location:

District no. Senator:

37. Congressional District number and name of U.S. Congressman for the project location:

District no. Congressman:


- End Additional Information Section -






Historic Preservation Grants-in-Aid Special Category Application


46. Owner concurrence: If the applicant does not own the property, the owner of record must sign the following
statement indicating concurrence with the proposed project and this application for grant assistance.

I, the undersigned, am the owner of the property identified in item 3 of this application and hereby
acknowledge my support for and full concurrence with this application.

Name (print or type)

Signature__ Date

Address

City State Zip

Daytime telephone

47. Agreement to Execute Maintenance Agreement: For projects involving historic properties and those
involving archaeological sites which will be maintained subsequent to the completion, the owner, long-term
lessee or other responsible party must sign the following statement indicating agreement to execute a 10 year
maintenance agreement for the property, should a grant award be made.

I, the undersigned, am the duly authorized representative of the owner, long-term lessee, or other
organization or agency having responsibility for maintenance of the property identified in item 3 of this
application subsequent to completion of the project for which funding is requested. I hereby indicate
agreement to execute a maintenance agreement through which the organization or agency I represent will
commit to maintenance of the referenced property in accordance with good preservation practice and the
applicable standards and guidelines of the Secretary of the Interior for a period of ten years from the date of
project completion. I further agree that the organization or agency will not make any modifications to the
property (other than routine repairs and maintenance) without review of the plans and specifications by the
Bureau of Historic Preservation and that every effort will be made to design any modifications in a manner
consistent with the applicable standards and guidelines of the Secretary of the Interior.

Name (print or type)

Signature Date

Title:

Organization

Address

City State Zip

Daytime telephone

End Certifications Section -

SHOULD YOU HAVE QUESTIONS REGARDING ANY ASPECT OF THE APPLICATION, PLEASE
CONTACT THE GRANTS AND EDUCATION SECTION, BUREAU OF HISTORIC PRESERVATION
AT (904)487-2333.


- End of Application -


Page Eleven of Eleven




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