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UNIFORM WIND MITIGATION INSPECTION OIR B1 1802 FOUR POINT COMPLETE RESIDENTIAL AND COMMERCIAL INSPECTIONS · UNIFORM WIND MITIGATION · 4 POINT INSPECTION · ROOFING INSPECTION · POOL INSPECTION · PROJECT INSPECTIONS · MOLD INSPECTION REMEDIATION · EMERGENCY WATER DAMAGE RESTORATION SERVICES · ENVIRONMENTAL CONSULTING Policy Holder Information Name: ________________________________________________________ Address: ________________________________________ Phone: __________________________________ Policy Number: ________________________________ Prepared by: ___________________________ James OConnor: _______________________________ Date Inspected: ________________________ O.E.C. Inspections L.L.C. Lighthouse Point, Florida James O'Connor Licensed General Contractor CGC:1517691 Office: (754) 307-1996 Cell: (954) 892-7357 Email: [email protected]

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Page 1: UNIFORM WIND MITIGATION INSPECTION OIR B1 1802 · PDF fileUNIFORM WIND MITIGATION INSPECTION OIR B1 1802 FOUR POINT ... LIVING ROOM ... maximum of 12 inches in the field or has a mean

UNIFORMWINDMITIGATIONINSPECTIONOIRB11802FOURPOINT

COMPLETERESIDENTIALANDCOMMERCIALINSPECTIONS

· UNIFORMWINDMITIGATION·4POINTINSPECTION·ROOFINGINSPECTION· POOLINSPECTION·PROJECTINSPECTIONS·MOLDINSPECTIONREMEDIATION

· EMERGENCYWATERDAMAGERESTORATIONSERVICES·ENVIRONMENTALCONSULTING

PolicyHolderInformationName:________________________________________________________Address: ________________________________________Phone: __________________________________PolicyNumber: ________________________________Preparedby: ___________________________JamesO’Connor:_______________________________DateInspected:________________________

O.E.C.InspectionsL.L.C.LighthousePoint,FloridaJamesO'ConnorLicensedGeneralContractorCGC:1517691

Office:(754)307-1996Cell:(954)892-7357Email:[email protected]

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O.E.C.InspectionsL.L.C.LighthousePoint,FloridaJamesO'ConnorLicensedGeneralContractorCGC:1517691

Office:(754)307-1996Cell:(954)892-7357Email:[email protected]

TABLEOFCONTENTSUNIFORMMITIGATIONVERIFICATIONINSPECTION......14 POINT INSPECTION FORM.........................................................5

ROOF CERTIFICATION FORM........................................................8HVAC INSPECTION (HEATING & CENTRAL AIR)...............10PLUMBING..........................................................................................12ELECTICAL...........................................................................................14

ROOFING STRUCTURE / CHIMNEY / ATTIC........................16SWIMMING POOL / EQUIPMENT /AND SAFET...................18EXTERIOR.............................................................................................20GARAGE.................................................................................................24

KITCHEN COMPONENTS & APPLIANCES..............................25LIVING ROOM.....................................................................................27

DINING ROOM...................................................................................29

LAUNDRY ROOM..............................................................................31MASTER BEDROOM........................................................................32

BEDROOM 2.......................................................................................33BEDROOM 3.......................................................................................34MASTER BATH..................................................................................35

FAMILY ROOM....................................................................................28

HALLWAY AND OTHER ROOMS................................................30

BEDROOM 2 BATH..........................................................................36

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Uniform Mitigation Verification Inspection Form Maintain a copy of this form and any documentation provided with the insurance policy

Inspectors Initials _____ Property Address_____________________________________________________________

*This verification form is valid for up to five (5) years provided no material changes have been made to the structure.OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155

Inspection Date: Owner Information Owner Name: Contact Person: Address: Home Phone: City: Zip: Work Phone:County: Cell Phone:Insurance Company: Policy #: Year of Home: # of Stories: Email:

NOTE: Any documentation used in validating the compliance or existence of each construction or mitigation attribute must accompany this form. At least one photograph must accompany this form to validate each attribute marked in questions 3 though 7. The insurer may ask additional questions regarding the mitigated feature(s) verified on this form. 1. Building Code: Was the structure built in compliance with the Florida Building Code (FBC 2001 or later) OR for homes located in

the HVHZ (Miami-Dade or Broward counties), South Florida Building Code (SFBC-94)?� A. Built in compliance with the FBC: Year Built _________. For homes built in 2002/2003 provide a permit application with

a date after 3/1/2002: Building Permit Application Date (MM/DD/YYYY) ____/____/________� B. For the HVHZ Only: Built in compliance with the SFBC-94: Year Built ______. For homes built in 1994, 1995, and 1996

provide a permit application with a date after 9/1/1994: Building Permit Application Date (MM/DD/YYYY) ___/___/_______� C. Unknown or does not meet the requirements of Answer “A” or “B”

2. Roof Covering: Select all roof covering types in use. Provide the permit application date OR FBC/MDC Product Approval numberOR Year of Original Installation/Replacement OR indicate that no information was available to verify compliance for each roofcovering identified.

2.1 Roof Covering Type: Permit Application

Date FBC or MDC

Product Approval # Year of Original Installation or

Replacement

No Information Provided for Compliance

□ 1. Asphalt/Fiberglass Shingle ____/____/_______ _________________________ ___________________ □ □ 2. Concrete/Clay Tile ____/____/_______ _________________________ ___________________ □ □ 3. Metal ____/____/_______ _________________________ ___________________ □ □ 4. Built Up ____/____/_______ _________________________ ___________________ □ □ 5. Membrane ____/____/_______ _________________________ ___________________ □ □ 6. Other______________________ ____/____/_______ _________________________ ___________________ □

� A. All roof coverings listed above meet the FBC with a FBC or Miami-Dade Product Approval listing current at time ofinstallation OR have a roofing permit application date on or after 3/1/02 OR the roof is original and built in 2004 or later.

� B. All roof coverings have a Miami-Dade Product Approval listing current at time of installation OR (for the HVHZ only) aroofing permit application after 9/1/1994 and before 3/1/2002 OR the roof is original and built in 1997 or later.

� C. One or more roof coverings do not meet the requirements of Answer “A” or “B”.� D. No roof coverings meet the requirements of Answer “A” or “B”.

3. Roof Deck Attachment: What is the weakest form of roof deck attachment?� A. Plywood/Oriented strand board (OSB) roof sheathing attached to the roof truss/rafter (spaced a maximum of 24” inches o.c.)

by staples or 6d nails spaced at 6” along the edge and 12” in the field. -OR- Batten decking supporting wood shakes or wood shingles. -OR- Any system of screws, nails, adhesives, other deck fastening system or truss/rafter spacing that has an equivalent mean uplift less than that required for Options B or C below.

� B. Plywood/OSB roof sheathing with a minimum thickness of 7/16”inch attached to the roof truss/rafter (spaced a maximum of 24”inches o.c.) by 8d common nails spaced a maximum of 12” inches in the field.-OR- Any system of screws, nails, adhesives, other deck fastening system or truss/rafter spacing that is shown to have an equivalent or greater resistance 8d nails spaced a maximum of 12 inches in the field or has a mean uplift resistance of at least 103 psf.

� C. Plywood/OSB roof sheathing with a minimum thickness of 7/16”inch attached to the roof truss/rafter (spaced a maximum of 24”inches o.c.) by 8d common nails spaced a maximum of 6” inches in the field. -OR- Dimensional lumber/Tongue & Groove decking with a minimum of 2 nails per board (or 1 nail per board if each board is equal to or less than 6 inches in width). -OR- Any system of screws, nails, adhesives, other deck fastening system or truss/rafter spacing that is shown to have an equivalent

1

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Inspectors Initials _____ Property Address_____________________________________________________________

*This verification form is valid for up to five (5) years provided no material changes have been made to the structure orinaccuracies found on the form.OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155

or greater resistance than 8d common nails spaced a maximum of 6 inches in the field or has a mean uplift resistance of at least 182 psf.

� D. Reinforced Concrete Roof Deck.� E. Other: _____________________________________________� F. Unknown or unidentified.� G. No attic access.

4. Roof to Wall Attachment: What is the WEAKEST roof to wall connection? (Do not include attachment of hip/valley jacks within5 feet of the inside or outside corner of the roof in determination of WEAKEST type)� A. Toe Nails

� Truss/rafter anchored to top plate of wall using nails driven at an angle through the truss/rafter and attached to the top plate of the wall, or

� Metal connectors that do not meet the minimal conditions or requirements of B, C, or D

Minimal conditions to qualify for categories B, C, or D. All visible metal connectors are: � Secured to truss/rafter with a minimum of three (3) nails, and � Attached to the wall top plate of the wall framing, or embedded in the bond beam, with less than a ½" gap from

the blocking or truss/rafter and blocked no more than 1.5” of the truss/rafter, and free of visible severe corrosion.

� B. Clips � Metal connectors that do not wrap over the top of the truss/rafter, or � Metal connectors with a minimum of 1 strap that wraps over the top of the truss/rafter and does not meet the nail

position requirements of C or D, but is secured with a minimum of 3 nails. � C. Single Wraps

Metal connectors consisting of a single strap that wraps over the top of the truss/rafter and is secured with a minimum of 2 nails on the front side and a minimum of 1 nail on the opposing side.

� D. Double Wraps � Metal Connectors consisting of 2 separate straps that are attached to the wall frame, or embedded in the bond

beam, on either side of the truss/rafter where each strap wraps over the top of the truss/rafter and is secured with a minimum of 2 nails on the front side, and a minimum of 1 nail on the opposing side, or

� Metal connectors consisting of a single strap that wraps over the top of the truss/rafter, is secured to the wall on both sides, and is secured to the top plate with a minimum of three nails on each side.

� E. Structural Anchor bolts structurally connected or reinforced concrete roof. � F. Other: _______________________________________________� G. Unknown or unidentified� H. No attic access

5. Roof Geometry: What is the roof shape? (Do not consider roofs of porches or carports that are attached only to the fascia or wall ofthe host structure over unenclosed space in the determination of roof perimeter or roof area for roof geometry classification).

� A. Hip Roof Hip roof with no other roof shapes greater than 10% of the total roof system perimeter. Total length of non-hip features: ______ feet; Total roof system perimeter: _______ feet

� B. Flat Roof Roof on a building with 5 or more units where at least 90% of the main roof area has a roof slope of less than 2:12. Roof area with slope less than 2:12 ________ sq ft; Total roof area __________sq ft

� C. Other Roof Any roof that does not qualify as either (A) or (B) above.

6. Secondary Water Resistance (SWR): (standard underlayments or hot-mopped felts do not qualify as an SWR)� A. SWR (also called Sealed Roof Deck) Self-adhering polymer modified-bitumen roofing underlayment applied directly to the

sheathing or foam adhesive SWR barrier (not foamed-on insulation) applied as a supplemental means to protect the dwelling from water intrusion in the event of roof covering loss.

� B. No SWR.� C. Unknown or undetermined.

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Inspectors Initials _____ Property Address_____________________________________________________________

*This verification form is valid for up to five (5) years provided no material changes have been made to the structure orinaccuracies found on the form.OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155

7. Opening Protection: What is the weakest form of wind borne debris protection installed on the structure? First, use the table todetermine the weakest form of protection for each category of opening. Second, (a) check one answer below (A, B, C, N, or X)based upon the lowest protection level for ALL Glazed openings and (b) check the protection level for all Non-Glazed openings (.1,.2, or .3) as applicable.

Opening Protection Level Chart Place an “X” in each row to identify all forms of protection in use for each opening type. Check only one answer below (A thru X), based on the weakest form of protection (lowest row) for any of the Glazed openings and indicate the weakest form of protection (lowest row) for Non‐Glazed openings.

Glazed Openings  Non‐Glazed Openings 

Windows or Entry Doors 

Garage Doors  Skylights  Glass

BlockEntry Doors 

Garage Doors 

N/A  Not Applicable‐ there are no openings of this type on the structure 

A  Verified cyclic pressure & large missile (9‐lb for windows doors/4.5 lb for skylights) 

B  Verified cyclic pressure & large missile (4‐8 lb for windows doors/2 lb for skylights) 

C  Verified plywood/OSB meeting Table 1609.1.2 of the FBC 2007  

D  Verified Non‐Glazed Entry or Garage doors indicating compliance with ASTM E 330, ANSI/DASMA 108, or PA/TAS 202 for wind pressure resistance 

N Opening Protection products that appear to be A or B but are not verified  

Other protective coverings that cannot be identified as A, B, or C 

X  No Windborne Debris Protection 

� A. Exterior Openings Cyclic Pressure and 9-lb Large Missile (4.5 lb for skylights only) All Glazed openings are protected at a minimum, with impact resistant coverings or products listed as wind borne debris protection devices in the product approval system of the State of Florida or Miami-Dade County and meet the requirements of one of the following for “Cyclic Pressure and Large Missile Impact” (Level A in the table above).

x Miami-Dade County PA 201, 202, and 203x Florida Building Code Testing Application Standard (TAS) 201, 202, and 203x American Society for Testing and Materials (ASTM) E 1886 and ASTM E 1996x Southern Standards Technical Document (SSTD) 12x For Skylights Only: ASTM E 1886 and ASTM E 1996x For Garage Doors Only: ANSI/DASMA 115

� A.1 All Non-Glazed openings classified as A in the table above, or no Non-Glazed openings exist � A.2 One or More Non-Glazed openings classified as Level D in the table above, and no Non-Glazed openings classified as Level B, C, N, or

X in the table above � A.3 One or More Non-Glazed Openings is classified as Level B, C, N, or X in the table above

� B. Exterior Opening Protection- Cyclic Pressure and 4 to 8-lb Large Missile (2-4.5 lb for skylights only) All Glazed openings are protected, at a minimum, with impact resistant coverings or products listed as windborne debris protection devices in the product approval system of the State of Florida or Miami-Dade County and meet the requirements of one of the following for “Cyclic Pressure and Large Missile Impact” (Level B in the table above):

x ASTM E 1886 and ASTM E 1996 (Large Missile – 4.5 lb.)x SSTD 12 (Large Missile – 4 lb. to 8 lb.)x For Skylights Only: ASTM E 1886 and ASTM E 1996 (Large Missile - 2 to 4.5 lb.)

� B.1 All Non-Glazed openings classified as A or B in the table above, or no Non-Glazed openings exist � B.2 One or More Non-Glazed openings classified as Level D in the table above, and no Non-Glazed openings classified as Level C, N, or X

in the table above � B.3 One or More Non-Glazed openings is classified as Level C, N, or X in the table above

� C. Exterior Opening Protection- Wood Structural Panels meeting FBC 2007 All Glazed openings are covered with plywood/OSB meeting the requirements of Table 1609.1.2 of the FBC 2007 (Level C in the table above).

� C.1 All Non-Glazed openings classified as A, B, or C in the table above, or no Non-Glazed openings exist � C.2 One or More Non-Glazed openings classified as Level D in the table above, and no Non-Glazed openings classified as Level N or X in

the table above � C.3 One or More Non-Glazed openings is classified as Level N or X in the table above

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� N. Exterior Opening Protection (unverified shutter systems with no documentation) All Glazed openings are protected with protective coverings not meeting the requirements of Answer “A”, “B”, or C” or systems that appear to meet Answer “A” or “B” with no documentation of compliance (Level N in the table above).

� N.1 All Non-Glazed openings classified as Level A, B, C, or N in the table above, or no Non-Glazed openings exist � N.2 One or More Non-Glazed openings classified as Level D in the table above, and no Non-Glazed openings classified as Level X in the

table above � N.3 One or More Non-Glazed openings is classified as Level X in the table above

� X. None or Some Glazed Openings One or more Glazed openings classified and Level X in the table above.

MITIGATION INSPECTIONS MUST BE CERTIFIED BY A QUALIFIED INSPECTOR. Section 627.711(2), Florida Statutes, provides a listing of individuals who may sign this form.

Qualified Inspector Name: License Type: License or Certificate #:

Inspection Company: Phone:

Qualified Inspector – I hold an active license as a: (check one) � Home inspector licensed under Section 468.8314, Florida Statutes who has completed the statutory number of hours of hurricane mitigation

training approved by the Construction Industry Licensing Board and completion of a proficiency exam. � Building code inspector certified under Section 468.607, Florida Statutes. � General, building or residential contractor licensed under Section 489.111, Florida Statutes. � Professional engineer licensed under Section 471.015, Florida Statutes. � Professional architect licensed under Section 481.213, Florida Statutes. � Any other individual or entity recognized by the insurer as possessing the necessary qualifications to properly complete a uniform mitigation

verification form pursuant to Section 627.711(2), Florida Statutes.

Individuals other than licensed contractors licensed under Section 489.111, Florida Statutes, or professional engineer licensed under Section 471.015, Florida Statutes, must inspect the structures personally and not through employees or other persons. Licensees under s.471.015 or s.489.111 may authorize a direct employee who possesses the requisite skill, knowledge, and experience to conduct a mitigation verification inspection.

I, __________________________ am a qualified inspector and I personally performed the inspection or (licensed (print name) contractors and professional engineers only) I had my employee (_____________________) perform the inspection

(print name of inspector) and I agree to be responsible for his/her work.

Qualified Inspector Signature: ___________________________________ Date: ______________________

An individual or entity who knowingly or through gross negligence provides a false or fraudulent mitigation verification form is subject to investigation by the Florida Division of Insurance Fraud and may be subject to administrative action by the appropriate licensing agency or to criminal prosecution. (Section 627.711(4)-(7), Florida Statutes) The Qualified Inspector who certifies this form shall be directly liable for the misconduct of employees as if the authorized mitigation inspector personally performed the inspection.

Homeowner to complete: I certify that the named Qualified Inspector or his or her employee did perform an inspection of the residence identified on this form and that proof of identification was provided to me or my Authorized Representative.

Signature: ___________________________________ Date: __________________________

An individual or entity who knowingly provides or utters a false or fraudulent mitigation verification form with the intent to obtain or receive a discount on an insurance premium to which the individual or entity is not entitled commits a misdemeanor of the first degree. (Section 627.711(7), Florida Statutes)

The definitions on this form are for inspection purposes only and cannot be used to certify any product or construction feature as offering protection from hurricanes.

Inspectors Initials _____ Property Address_____________________________________________________________

*This verification form is valid for up to five (5) years provided no material changes have been made to the structure orinaccuracies found on the form.OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155 44

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4-Point Inspection – Personal Lines(Edition 9/2012 revised)

OEC Inspections LLC – Insp4pt 09 12 - Revised

INSURED/APPLICANT NAME APPLICATION / POLICY #

ADDRESS INSPECTED:

ACTUAL YEAR BUILT: DATE INSPECTED:

Minimum Photo Requirement: Front elevation Rear elevationMain Electrical Service Panel with interior door labelHVAC heating systems equipment (with dated manufacturer’s plate)ALL hazards or deficiencies noted in this report.

A Florida-licensed inspector MUST complete, sign and date this form.

ELECTRICAL SYSTEM (*SEPARATE DOCUMENTATION OF ANY ALUMINUM WIRING REMEDIATION MUST BE PROVIDEDAND CERTIFIED BY A LICENSED ELECTRICIAN)

Main Panel: Total System Amps:

Panel Age:Year Last Updated:Amps:Less than 60A Fuse60A Fuse100A Fuse100A CB200A CB:Other (specify):

Panel 2 (if present): Year Panel #2 added:Purpose of Panel 2: Amps:Less than 60A Fuse 60A Fuse100A Fuse100A CB200A CB:Other (specify):

Wiring TypeCopper Wiring, NM, BX,Conduit:Active Knob � Tube orcloth wiring:Aluminum BranchWiring�:

Other (specify):

Hazards PresentBlowing Fuses orBreakersEmpty BreakerSocketsLoose Wiring

Improper Grounding

Over FusingDouble TapsExposed/UnsafeWiringElectrical PanelBrand/ModelOther (explain)

I ̀ single strand (aluminum branch) wiring, provide details of all remediation. Separatedocumentation of all work must be provided.

Entire home rewiredwith copperConnections repaired via COPALUM c impConnections repaired via AlumiConnIs the electrical system in good working orde Yes No (explain)

Use the Additional Comments/Observations section below to provide full details of any noted updates, hazards, etc.

HEATING SYSTEMYear Last Updated: Yes NoAge of System:

Are the heating, ventilation and air conditioning systems in good working order

Yes No (explain)

Hazards PresentWood Burning Stove or central gas fireplace not professionally installedSpace heater used as primary heat source

Yes No

Yes No

Central HVACIf not central, indicate primary heat source and fuel type:Is the source portable Yes No

Use the Additional Comments/Observations section below to provide full details of any noted updates, hazards, etc.

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4-Point Inspection – Personal Lines(Edition 9/2012 revised)

PLUMBING SYSTEM Age of System: Year Last Updated: Deficiencies (check all that apply):

Type of Pipes Copper: PVC: Galvanized: Polybutylene: Other (specify):

Is the plumbing system in good working order

Yes No

Active leak

Indication of prior leak(s)

Connections/Hoses leaking or cracked

Water Heater (explain)

Other (explain)

Use the Additional Comments/Observations section below to provide full details of any noted updates, hazards, deficiencies, etc.

ROOF - WITH 2 ROOF PHOTOS, THIS PORTION CAN TAKE THE PLACE OF THE ROOF CONDITION CERTIFICATION FORM (CIT RCF-1) Secondary Roof

Covering Material:Roof Age (yeRemaining Useful Life:Date of Last oo e it

Any visible signs of damage / deterioration? (describe) (e.g. curling/ lifted/ loose/ missing shingles or tiles, sagging or uneven roof deck) Predominant Roof

Yes No Secondary Roof

Yes No

Predominant Roof Covering Material: Roof Age (years): Remaining Useful Life: Date of Last Roofing Permit: Date of Last Update:

If updated (check one): Full Replacement Partial Replacement of Replacement

Overall Condition of Roof: Excellent Good Fair Poor (explain)

Date of Last p te

If updated (check one): Full Replacement Partial Replacement of Replacement

Overall Condition of Roof: Excellent Good Fair Poor (explain)

Any visible signs of leaks? Predominant Roof

Yes No Secondary Roof

Yes No

Use the Additional Comments/Observations section below to provide full details of any noted updates, hazards, etc. for all roof coverings.

ADDITIONAL COMMENTS OR OBSERVATIONS (USE ADDITIONAL PAGES AS NEEDED):

A L L 4 -P O I N T I N S P E C T I O N S M U S T B E I N S P E C T E D A N D C O M P L E T E D B Y A V E R I F I A B L E F L O R I D A - L I C E N S E D I N S P E C T O R . I C E R T I F Y T H A T T H E A B O V E S T A T E M E N T S A R E T R U E A N D C O R R E C T .

INSPECTOR SIGNATURE TITLE LICENSE NUMBER DATE

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4-Point Inspection – Personal LinesSpecial Instructions

Citizens – Insp4pt 09 12 - Revised This form has been made available to verify the types, ages and conditions of a home’s four major systems to

determine eligibility/acceptability with OEC Inspections Property Insurance Corporation.If another inspection form is used, it must provide the same photos and level of detail as found on this report.

A 4-Point Inspection is required for all homeowner, dwelling and mobile home applications for properties over 30 years old.

The OEC Inspections 4-Point Inspection form includes the minimum data needed for Underwriting to properly evaluate a property application. While this specific form is not required, any other inspection submitted for consideration must include at least this level of detail to be acceptable to OEC Inspections.

PHOTO RE IREMENTS Photos must accompany each 4-Point inspection submitted to Citizens. The minimum photo requirement for all submissions is a front and rear elevation. However, there are additional photo requirements for a 4-Point inspection such as:

Open Main Electrical Panel and Interior Door HVAC heating system (with dated manufacturer’s plate)ALL hazards or deficiencies noted

ROOF RE IREMENTS The Citizens 4-Point inspection may be submitted in lieu of the Citizens Roof Condition Certification Form (CIT RCF-1) if a minimum of 2 photos of the roof are also provided. This will satisfy the required roof documentation listed in the OEC Inspections Rules Manual.

INSPECTOR RE REMENTS All inspection forms must be inspected and completed by a verifiable Florida-licensed professional. Without a verifiable, certified inspector’s dated signature, the form will not be accepted. The following FLORIDA-LICENSED individuals may complete a 4-Point Inspection for Citizens in its entirety: Note: A trade-specific, licensed professional may sign off only on their trade component of the 4-Point inspection form (e.g., a roofing inspector may sign off only on the roofing portion of the form).

A general, residential, or building contractor A building code inspector A registered architect A home inspector

A professional engineer A building code official who is authorized by the State of Florida to verify building code compliance

CERTIFYING THE CONDITION OF EACH SYSTEM The Florida-licensed inspector is required to certify the condition of the electrical, HVAC and plumbing systems. “Acceptable Condition” means that each system is working as intended and there are no visible hazards or deficiencies.

ADDITIONAL COMMENTS OR OBSERVATIONS This section of the 4-Point inspection must be completed with full details/descriptions if any of the following are noted on the inspection:

Updates (provide full details of the types of updates, date completed and by whom) Any system determined NOT to be in good working order.

Any visible hazards/deficiencies are present

NOTE TO ALL AGENTS The writing agent must fully review each 4-Point inspection submitted with an application for coverage in advance. It is the agent’s responsibility to ensure that all OEC Inspections rules and requirements are metbefore the application is bound. Properties with electrical, heating or plumbing systems not in good working order or with existing hazards / deficiencies cannot be submitted to OEC Inspections.

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Roof Condition Certification Form

CIT RCF-1 09 12

APPLICANT/INSURE ̀

APPLIC ION/POLICY#:

ADDRESS INSPECTED:

DATE OF INSPECTION:

This Roof Condition Certification Form must be inspected and completed by a verifiable Florida-licensedprofessional. Without an appropriately licensed inspector’s dated signature, the form will not be accepted. The following FLORIDA-LICENSED individuals may complete this form for OEC Inspections:

A general, residential, building, or roofing contractorA building code inspectorA registered architectA professional engineerA building code official who is authorized by the State of Florida to verify building code complianceA Florida-licensed home inspector

NOTE: This form does not verify loss mitigation features. Use Uniform Mitigation Verification Inspection FormOIR-B1-1802.

ROOF (TWO PHOTOS OF THE ROOF’S CONDITION ARE RE�UIRED TO BE SUBMITTED WITH THIS FORM)Secondary Roof Any visible signs of damage /

deterioration? (describe)(e.g. curling/ lifted/ loose/missing shingles or tiles,sagging or uneven roof deck)Predominant Roof

Yes NoSecondary Roof

Yes No

Predominant Roof Covering Material:Roof Age (years): Remaining Useful Life: Date of Last Roofing Permit: Date of Last Update:

If updated (check one): Full ReplacementPartial Replacemento Replacement

Overall Condition of Roof: ExcellentGoodFairPoor (explain)

Covering Material: Roof Age (ye s Remaining Useful Life: Date of Last e itDate of Last p te

If updated (check one): Full Replacement Partial Replacement of Replacement

Overall Condition of Roof: ExcellentGoodFairPoor (explain)

Any visible signs of leaks? Predominant Roof

Yes NoSecondary Roof

Yes No

Additional Comments:

A L L R O O F C O N D I T I O N C E R T I F I C A T I O N I N S P E C T I O N S M U S T B E I N S P E C T E D , S I G N E D A N D C O M P L E T E D B Y A V E R I F I A B L E F L O R I D A - L I C E N S E D I N S P E C T O R . I C E R T I F Y T H A T T H E A B O V E S T A T E M E N T S A R E T R U E A N D C O R R E C T .

e ep one e

License pe

..................

Inspecto e p inte

i n t e o Inspecto

___________________________________________

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CommentKeyorDefinitions

Thefollowingdefinitionsofcommentdescriptionsrepresentthisinspectionreport.Allcommentsbytheinspectorshouldbeconsideredbeforepurchasingthishome.Anyrecommendationsbytheinspectortorepairorreplacesuggestsasecondopinionorfurtherinspectionbyaqualifiedcontractor.Allcostsassociatedwithfurtherinspectionfeesandrepairorreplacementofitem,componentorunitshouldbeconsideredbeforeyoupurchasetheproperty.

Inspected(IN)=Ivisuallyobservedtheitem,componentorunitandifnoothercommentsweremadethenitappearedtobefunctioningasintendedallowingfornormalwearandtear.

NotInspected(NI)=Ididnotinspectthisitem,componentorunitandmadenorepresentationsofwhetherornotitwasfunctioningasintendedandwillstateareasonfornotinspecting.

NotPresent(NP)=Thisitem,componentorunitisnotinthishomeorbuilding.

RepairorReplace(RR)=Theitem,componentorunitisnotfunctioningasintended,orneedsfurtherinspectionbyaqualifiedcontractor.Items,componentsorunitsthatcanberepairedtosatisfactoryconditionmaynotneedreplacement.

InAttendance:

Temperature:

Raininlast3days:

Typeofbuilding:

Weather:

Approximateageofbuilding:

Ground/Soilsurfacecondition:

Date:

Property:

Customer: :

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. Heating/CentralAirConditioning

Thehomeinspectorshallobservepermanentlyinstalledheatingandcoolingsystemsincluding:Heatingequipment;CoolingEquipmentthatiscentraltohome;Normaloperatingcontrols;Automaticsafetycontrols;Chimneys,flues,andvents,wherereadilyvisible;Solidfuelheatingdevices;Heatdistributionsystemsincludingfans,pumps,ductsandpiping,withsupports,insulation,airfilters,registers,radiators,fancoilunits,convectors;andthepresenceofaninstalledheatsourceineachroom.Thehomeinspectorshalldescribe:Energysource;andHeatingequipmentanddistributiontype.Thehomeinspectorshalloperatethesystemsusingnormaloperatingcontrols.Thehomeinspectorshallopenreadilyopenableaccesspanelsprovidedbythemanufacturerorinstallerforroutinehomeownermaintenance.Thehomeinspectorisnotrequiredto:Operateheatingsystemswhenweatherconditionsorothercircumstancesmaycauseequipmentdamage;Operateautomaticsafetycontrols;Igniteorextinguishsolidfuelfires;orObserve:Theinteriorofflues;Fireplaceinsertflueconnections;Humidifiers;Electronicairfilters;orTheuniformityoradequacyofheatsupplytothevariousrooms.

INNINPRR

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace INNINPRR

Comments:

Styles&MaterialsHeatType:ForcedAir

EnergySource:Electric

NumberofHeatSystems

(excludingwood):Four

HeatSystemBrand:RHEEM

Ductwork:Insulated

FilterType:Disposable

TypesofFireplaces:Propanegaslogsvented

OperableFireplaces:One

NumberofWood-stoves:None

CoolingEquipmentType:Airconditionerunit

CoolingEquipmentEnergy

Source:Electricity

CentralAirManufacturer:RHEEM

NumberofACOnlyUnits:Six

.0 Heating Equipment

.1 Normal Operating Controls

.2 Distribution Systems (including fans, pumps, ducts and piping, with supports, insulation, air filters, registers, radiators, fan coil units and convectors)

.3 Presence of installed heat source in each room

.4 Chimneys, Flues and Vents (for fireplaces, gas water heaters or heat systems)

.5 Solid Fuel heating Devices (Fireplaces, Woodstove)

.6 Gas/LP Fire logs and Fireplaces

.7 Cooling and Air Handler Equipment

.8 Normal Operating Controls

.9 Presence of installed cooling source in each room

1010

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2. PlumbingSystem

Thehomeinspectorshallobserve:Interiorwatersupplyanddistributionsystem,including:pipingmaterials,supports,andinsulation;fixturesandfaucets;functionalflow;leaks;andcrossconnections;Interiordrain,waste,andventsystem,including:traps;drain,waste,andventpiping;pipingsupportsandpipeinsulation;leaks;andfunctionaldrainage;Hotwatersystemsincluding:waterheatingequipment;normaloperatingcontrols;automaticsafetycontrols;andchimneys,flues,andvents;Fuelstorageanddistributionsystemsincluding:interiorfuelstorageequipment,supplypiping,venting,andsupports;leaks;andSumppumps.Thehomeinspectorshalldescribe:Watersupplyanddistributionpipingmaterials;Drain,waste,andventpipingmaterials;Waterheatingequipment;andLocationofmainwatersupplyshutoffdevice.Thehomeinspectorshalloperateallplumbingfixtures,includingtheirfaucetsandallexteriorfaucetsattachedtothehouse,exceptwheretheflowendofthefaucetisconnectedtoanappliance.Thehomeinspectorisnotrequiredto:Statetheeffectivenessofanti-siphondevices;Determinewhetherwatersupplyandwastedisposalsystemsarepublicorprivate;Operateautomaticsafetycontrols;Operateanyvalveexceptwaterclosetflushvalves,fixturefaucets,andhosefaucets;Observe:Waterconditioningsystems;Fireandlawnsprinklersystems;On-sitewatersupplyquantityandquality;On-sitewastedisposalsystems;Foundationirrigationsystems;Spas,exceptastofunctionalflowandfunctionaldrainage;Swimmingpools;Solarwaterheatingequipment;orObservethesystemforpropersizing,design,oruseofpropermaterials.

INNINPRR

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace INNINPRR

Comments:

Styles&MaterialsWaterSource:Public

WaterFilters:None

PlumbingWaterSupply

(intohome):Copper

PlumbingWater

Distribution(insidehome):Copper

WasherDrainSize:11/2"Diameter(undersized)

PlumbingWasteLine:PVC

WaterHeaterPower

Source:Electric

WaterHeaterCapacity:80Gallon(plenty)

WaterHeater

Manufacturer:RHEEMWaterHeaterLocation:GarageStorageRoom

.0 Plumbing Drain, Waste and Vent Systems

.1 Plumbing Water Supply and Distribution Systems and Fixtures

.2 Hot Water Systems, Controls, Chimneys, Flues and Vents

.3 Main Water Shut-off Device (Describe location)

.4 Fuels Storage and Distribution Systems (Interior fuel storage, piping, venting, supports, leaks)

.5 Main Fuel Shut-off (Describe Location)

.6 Sump Pump

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3. ElectricalSystem

Thehomeinspectorshallobserve:Serviceentranceconductors;Serviceequipment,groundingequipment,mainovercurrentdevice,andmainanddistributionpanels;Amperageandvoltageratingsoftheservice;Branchcircuitconductors,theirovercurrentdevices,andthecompatibilityoftheirampacitiesandvoltages;Theoperationofarepresentativenumberofinstalledceilingfans,lightingfixtures,switchesandreceptacleslocatedinsidethehouse,garage,andonthedwelling'sexteriorwalls;Thepolarityandgroundingofallreceptacleswithinsixfeetofinteriorplumbingfixtures,andallreceptaclesinthegarageorcarport,andontheexteriorofinspectedstructures;Theoperationofgroundfaultcircuitinterrupters;andSmokedetectors.Thehomeinspectorshalldescribe:Serviceamperageandvoltage;Serviceentryconductormaterials;Servicetypeasbeingoverheadorunderground;andLocationofmainanddistributionpanels.Thehomeinspectorshallreportanyobservedaluminumbranchcircuitwiring.Thehomeinspectorshallreportonpresenceorabsenceofsmokedetectors,andoperatetheirtestfunction,ifaccessible,exceptwhendetectorsarepartofacentralsystem.Thehomeinspectorisnotrequiredto:Insertanytool,probe,ortestingdeviceinsidethepanels;Testoroperateanyovercurrentdeviceexceptgroundfaultcircuitinterrupters;Dismantleanyelectricaldeviceorcontrolotherthantoremovethecoversofthemainandauxiliarydistributionpanels;orObserve:Lowvoltagesystems;Securitysystemdevices,heatdetectors,orcarbonmonoxidedetectors;Telephone,security,cableTV,intercoms,orotherancillarywiringthatisnotapartoftheprimaryelectricaldistributionsystem;orBuilt-invacuumequipment.

INNINPRR Styles&MaterialsElectricalService

Conductors:Belowground

Panelcapacity:AdequateExtraInfo:Mainpanelhasa750AMPCapacity

PanelType:Circuitbreakers

ElectricPanel

Manufacturer:SQUARED

Branchwire15and20

AMP:Copper

WiringMethods:Romex

INNINPRR

. .0 Service Entrance Conductors

.1 Service and Grounding Equipment, Main Overcurrent Device, Main and Distribution Panels

2 Branch Circuit Conductors, Overcurrent Devices and Compatibility of their Amperage and Voltage

.3 Connected Devices and Fixtures (Observed from a representative number operation of ceiling fans, lighting fixtures, switches and receptacles located inside the house, garage, and on the dwelling's exterior walls)

.4 Polarity and Grounding of Receptacles within 6 feet of interior plumbing fixtures, and all receptacles in garage, carport and exterior walls

.5 Operation of GFCI (Ground Fault Circuit Interrupters)

.6 Location of Main and Distribution Panels

.7 Smoke Detectors

.8 Carbon Monoxide Detectors

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace

Comments:

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. Roofing/Chimneys/RoofStructureandAttic

Thehomeinspectorshallobserve:Roofcovering;Roofdrainagesystems;Flashings;Skylights,chimneys,androofpenetrations;andSignsof'leaksorabnormalcondensationonbuildingcomponents.Thehomeinspectorshall:Describethetypeofroofcoveringmaterials;andReportthemethodsusedtoobservetheroofing.Thehomeinspectorisnotrequiredto:Walkontheroofing;orObserveattachedaccessoriesincludingbutnotlimitedtosolarsystems,antennae,andlightningarrestors.

IN NI NPRR

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace INNINPRR

Comments:

Styles&MaterialsViewedroofcovering

from:Walkedroof

Roof-Type:Gable

RoofCovering:TileExtraInfo:Misc.flatroof

Chimney(exterior):Brick

SkyLight(s):Three

RoofVentilation:SoffitVentsExtraInfo:NonPoweredroofvents

Methodusedtoobserve

attic:Walked

RoofStructure:EngineeredwoodtrussesCeilingStructure:2X6

Atticinfo:Scuttlehole

AtticInsulation:R-19orbetter

. .0 Roof Coverings

.1 Flashings

.2 Skylights, Chimneys and Roof Penetrations

.3 Roof Ventilation

.4 Roof Drainage Systems (gutters and downspouts)

.5 Roof Structure and Attic (Report leak signs or condensation)

.6 Ventilation Fans and Thermostatic Controls (Attic)

.7 Insulation in Attic

8 Visible Electric Wiring in Attic

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. SwimmingPools,EquipmentandSafety

Poolsarefun,butchildrenandadultscanlosetheirlifequickly.Over4000livesannuallyarelostwithone-thirdundertheageof14.Achildcandrowninthetimeittakestoansweraphone.Aswimmingpoolis14timesmorelikelythanamotorvehicletobeinvolvedinthedeathofachildage4andunder.Anestimated5,000childrenages14andunderarehospitalizedduetonear-drowningseachyear;15percentdieinthehospitalandasmanyas20percentsuffersevere,permanentbraindamage.Ofallpreschoolerswhodrown,70percentareinthecareofoneorbothparentsatthetimeofthedrowningand75percentaremissingfromsightforfiveminutesorless.Drowningsurpassesallothercausesofdeathtochildrenage14andunderinArizona,California,Florida,Hawaii,Montana,Nevada,Oregon,UtahandWashington.

Apoolalarmwithaloudspeakersystemtosoundoutsideaswellasinsidethehomecouldsavealife.Evenifyoudonothavechildrenyoushouldbeconcerned.35%ofchildrenthatdrowneddidsoinsomeoneelse'spool.Formoreinfo,doanInternetsearchonpoolsafetyorvisitthiswebsite:http://www.ihf.org/foryourhealth/article_children.html

INYesNINPRRNo Styles&MaterialsStyle:Inground

Shape:Rectangle

WallMaterial:Gunite(concrete)

IN=Inspected,Yes=Yes,NI=NotInspected,NP=NotPresent,RR=RepairorReplace,No=No INYesNINPRR No

. .0 Operational Condition of Pool

.1 Pool Liner Condition

.2 Surface Walls and Floor of Pool

.3 Permanent Accessories Condition

.4 Pumps for circulation of water

.5 Pumps for vacuum or cleaning

.6 Pool Heaters

.7 Verify the Electrical Outlet (s) and any Lighting for Pool is on a GFCI circuit

.8 Overflow Skimmers and Drains

.9 Chemicals for Pool capable of being stored with a lock

10 Does pool have any rescue equipment

.11 Do steps or ladders exist on both sides of the pool

.12 Is the pool depth marked on outside area of pool

.13 Is there a depth of at least 8 feet to allow safe diving

.14 Are there any obstructions (walls, shrubs etc.) that would prevent full view of pool from home

.15 Is the pool fenced

.16 Does fence have a self-closing latch and lock on door/gate

.17 Can fence be climbed by the use of personal items or structures against fence

.18 Is it reasonably difficult for young children to reach the latch

.19 Electric lights secure

.20 Water level should be within inches from rim to allow an easier climb out

.21 Pool design at water’s edge should not include obvious protrusions that could injure swimmer

.22 Does the surface around pool encourage drainage away from pool

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Comments:

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. Exterior

Thehomeinspectorshallobserve:Wallcladding,flashings,andtrim;Entrywaydoorsandarepresentativenumberofwindows;Garagedooroperators;Decks,balconies,stoops,steps,areaways,porchesandapplicablerailings;Eaves,soffits,andfascia;andVegetation,grading,drainage,driveways,patios,walkways,andretainingwallswithrespecttotheireffectontheconditionofthebuilding.Thehomeinspectorshall:Describewallcladdingmaterials;Operateallentrywaydoorsandarepresentativenumberofwindows;Operategaragedoorsmanuallyorbyusingpermanentlyinstalledcontrolsforanygaragedooroperator;Reportwhetherornotanygaragedooroperatorwillautomaticallyreverseorstopwhenmeetingreasonableresistanceduringclosing;andProbeexteriorwoodcomponentswheredeteriorationissuspected.Thehomeinspectorisnotrequiredtoobserve:Stormwindows,stormdoors,screening,shutters,awnings,andsimilarseasonalaccessories;Fences;Presenceofsafetyglazingindoorsandwindows;Garagedooroperatorremotecontroltransmitters;Geologicalconditions;Soilconditions;Recreationalfacilities(includingspas,saunas,steambaths,swimmingpools,tenniscourts,playgroundequipment,andotherexercise,entertainment,orathleticfacilities);Detachedbuildingsorstructures;orPresenceorconditionofburiedfuelstoragetanks.Thehomeinspectorisnotrequiredto:Movepersonalitems,panels,furniture,equipment,plantlife,soil,snow,iceordebristhatobstructsaccessorvisibility.

INNI NP RR Styles&MaterialsSidingStyle:Lap

SidingMaterial:Compositeboard

ExteriorEntryDoors:Wood

Appurtenance:Coveredporch

Driveway:Brick

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace

Comments:

INNINPRR

.0 Wall Cladding, Flashing and Trim

.1 Doors (Exterior)

.2 Windows

.3 Decks, Balconies, Stoops, Steps, Areaways, Porches, Patio/Cover and Applicable Railings

.4 Vegetation, Grading, Drainage, Driveways, Patio Floor, Walkways and Retaining Walls (With respect to their effect on the condition of the building)

.5 Eaves, Soffits and Fascia

.6 Plumbing Water Faucets (hose bibs)

.7 Outlets (Exterior)

.8 Other

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. Garage

INNI NPRR Styles&MaterialsGarageDoorType:Threeautomatic

GarageDoorMaterial:Insulated

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace

Comments:

INNINPRR

.0 Garage Ceiling

.1 Garage Walls (Including Firewall Separation)

.2 Garage Floor

.3 Garage Door (s)

.4 Occupant Door from Garage to inside home

.5 Garage Door Operators (Report whether or not doors will reverse when met with resistance)

.6 Electrical Fixtures, Outlets and Switched

.7 Garage Vents

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INNINPRR Styles&MaterialsDishwasherBrand:MIELESerial#:Model#G843SCVIPLUS

DisposerBrand:FRANKESerial#:UNKNOWN

Exhaust/Rangehood:VENTEDSerial#:UNKNOWN

Range/Oven:WOLF

BuiltinMicrowave:KITCHENAIDESerial#:FGL5023580

Cabinetry:Wood

Countertop:Granite

Refrigerator:SUBZERO

Freezer:SUBZERO

DryerPowerSource:220Electric

.0 Ceiling

.1 Walls

.2 Floor

.3 Pantry/Closet Doors

.4 Windows

.5 Counters and a representative number of Cabinets

.6 Plumbing Drain and Vent Systems

.7 Plumbing Water Supply Faucets and Fixtures

.8 Outlets Wall Switches and Fixtures

.9 Dishwasher

.10 Ranges/Ovens/Cooktops

.11 Range Hood

.12 Trash Compactor

.13 Food Waste Disposer

.14 Microwave Cooking Equipment

.15 Refrigerator

.16 Freezer

. KitchenComponentsandAppliancesThehomeinspectorshallobserveandoperatethebasicfunctionsofthefollowingkitchenappliances:Permanentlyinstalleddishwasher,throughitsnormalcycle;Range,cooktop,andpermanentlyinstalledoven;Trashcompactor;Garbagedisposal;Ventilationequipmentorrangehood;andPermanentlyinstalledmicrowaveoven.Thehomeinspectorisnotrequiredtoobserve:Clocks,timers,self-cleaningovenfunction,orthermostatsforcalibrationorautomaticoperation;Nonbuilt-inappliances;orRefrigerationunits.Thehomeinspectorisnotrequiredtooperate:Appliancesinuse;orAnyappliancethatisshutdownorotherwiseinoperable.

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace

.17 Clothes Dryer Vent Piping

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Comments:

26

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(A).LivingRoom

Thehomeinspectorshallobserve:Walls,ceiling,andfloors;Steps,stairways,balconies,andrailings;Countersandarepresentativenumberofinstalledcabinets;andArepresentativenumberofdoorsandwindows.Thehomeinspectorshall:Operatearepresentativenumberofwindowsandinteriordoors;andReportsignsofabnormalorharmfulwaterpenetrationintothebuildingorsignsofabnormalorharmfulcondensationonbuildingcomponents.Thehomeinspectorisnotrequiredtoobserve:Paint,wallpaper,andotherfinishtreatmentsontheinteriorwalls,ceilings,andfloors;Carpeting;orDraperies,blinds,orotherwindowtreatments.

INNINPRR Styles&MaterialsCeilingMaterials:Drywall

WallMaterial:Drywall

FloorCovering(s):Wood

WindowTypes:Casement

WindowManufacturer:PELLA

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace

Comments:

INNINPRR

.0.A Ceilings

.1.A Walls

.2.A Floors

.3.A Steps, Stairways, Balconies and Railings

.4.A Doors (Representative number)

.5.A Windows (Representative number)

.6.A Outlets, Switches and Fixtures

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(C).FamilyRoom

Thehomeinspectorshallobserve:Walls,ceiling,andfloors;Steps,stairways,balconies,andrailings;Countersandarepresentativenumberofinstalledcabinets;andArepresentativenumberofdoorsandwindows.Thehomeinspectorshall:Operatearepresentativenumberofwindowsandinteriordoors;andReportsignsofabnormalorharmfulwaterpenetrationintothebuildingorsignsofabnormalorharmfulcondensationonbuildingcomponents.Thehomeinspectorisnotrequiredtoobserve:Paint,wallpaper,andotherfinishtreatmentsontheinteriorwalls,ceilings,andfloors;Carpeting;orDraperies,blinds,orotherwindowtreatments.

INNINPRR Styles&MaterialsCeilingMaterials:Wood

WallMaterial:Drywall

FloorCovering(s):Wood

WindowTypes:Casement

WindowManufacturer:PELLA

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace

Comments:

INNINPRR

.0.C Ceilings

.1.C Walls

.2.C Floors

.3.C Steps, Stairways, Balconies and Railings

.4.C Doors (Representative number)

.5.C Windows (Representative number)

.6.C Outlets, Switches and Fixtures

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(D).DiningRoom

Thehomeinspectorshallobserve:Walls,ceiling,andfloors;Steps,stairways,balconies,andrailings;Countersandarepresentativenumberofinstalledcabinets;andArepresentativenumberofdoorsandwindows.Thehomeinspectorshall:Operatearepresentativenumberofwindowsandinteriordoors;andReportsignsofabnormalorharmfulwaterpenetrationintothebuildingorsignsofabnormalorharmfulcondensationonbuildingcomponents.Thehomeinspectorisnotrequiredtoobserve:Paint,wallpaper,andotherfinishtreatmentsontheinteriorwalls,ceilings,andfloors;Carpeting;orDraperies,blinds,orotherwindowtreatments.

INNINPRR Styles&MaterialsCeilingMaterials:Drywall

WallMaterial:Drywall

FloorCovering(s):Wood

WindowTypes:Casement

WindowManufacturer:PELLA

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace

Comments:

INNINPRR

.0.D Ceilings

.1.D Walls

.2.D Floors

.3.D Steps, Stairways, Balconies and Railings

.4.D Doors (Representative number)

.5.D Windows (Representative number)

.6.D Outlets, Switches and Fixtures

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(E).HallwayandOtherRooms

Thehomeinspectorshallobserve:Walls,ceiling,andfloors;Steps,stairways,balconies,andrailings;Countersandarepresentativenumberofinstalledcabinets;andArepresentativenumberofdoorsandwindows.Thehomeinspectorshall:Operatearepresentativenumberofwindowsandinteriordoors;andReportsignsofabnormalorharmfulwaterpenetrationintothebuildingorsignsofabnormalorharmfulcondensationonbuildingcomponents.Thehomeinspectorisnotrequiredtoobserve:Paint,wallpaper,andotherfinishtreatmentsontheinteriorwalls,ceilings,andfloors;Carpeting;orDraperies,blinds,orotherwindowtreatments.

INNINPRR Styles&MaterialsCeilingMaterials:Drywall

WallMaterial:Drywall

FloorCovering(s):Wood

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace INNINPRR

Comments:

.0.E Ceilings

.1.E Walls

.2.E Floors

.3.E Steps, Stairways, Balconies and Railings

.4.E Doors (Representative number)

.5.E Windows (Representative number)

.6.E Outlets, Switches and Fixtures

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(G).LaundryRoom

Thehomeinspectorshallobserve:Walls,ceiling,andfloors;Steps,stairways,balconies,andrailings;Countersandarepresentativenumberofinstalledcabinets;andArepresentativenumberofdoorsandwindows.Thehomeinspectorshall:Operatearepresentativenumberofwindowsandinteriordoors;andReportsignsofabnormalorharmfulwaterpenetrationintothebuildingorsignsofabnormalorharmfulcondensationonbuildingcomponents.Thehomeinspectorisnotrequiredtoobserve:Paint,wallpaper,andotherfinishtreatmentsontheinteriorwalls,ceilings,andfloors;Carpeting;orDraperies,blinds,orotherwindowtreatments.

INNINPRR Styles&MaterialsCeilingMaterials:Drywall

WallMaterial:Drywall

FloorCovering(s):Tile

InteriorDoors:Raisedpanel

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace INNINPRR

Comments:

.0.G Ceilings

.1.G Walls

.2.G Floors

.3.G Steps, Stairways, Balconies and Railings

4.G Doors (Representative number)

.5.G Windows (Representative number)

.6.G Outlets, Switches and Fixtures

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(H).MasterBedroom

Thehomeinspectorshallobserve:Walls,ceiling,andfloors;Steps,stairways,balconies,andrailings;Countersandarepresentativenumberofinstalledcabinets;andArepresentativenumberofdoorsandwindows.Thehomeinspectorshall:Operatearepresentativenumberofwindowsandinteriordoors;andReportsignsofabnormalorharmfulwaterpenetrationintothebuildingorsignsofabnormalorharmfulcondensationonbuildingcomponents.Thehomeinspectorisnotrequiredtoobserve:Paint,wallpaper,andotherfinishtreatmentsontheinteriorwalls,ceilings,andfloors;Carpeting;orDraperies,blinds,orotherwindowtreatments.

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace

Comments:

INNINPRR

INNINPRR

Styles&MaterialsCeilingMaterials:Drywall

WallMaterial:Drywall

FloorCovering(s):Wood

InteriorDoors:Raisedpanel

WindowTypes:Casement

WindowManufacturer:PELLA

.0.H Ceilings

.1.H Walls

.2.H Floors

.3.H Steps, Stairways, Balconies and Railings

.4.H Doors (Representative number)

.5.H Windows (Representative number)

6.H Outlets, Switches and Fixtures

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IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace

Comments:

INNINPRR

INNINPRR

Styles&MaterialsCeilingMaterials:Drywall

WallMaterial:Drywall

FloorCovering(s):Wood

InteriorDoors:Raisedpanel

WindowTypes:Casement

WindowManufacturer:PELLA

.0.I Ceilings

.1.I Walls

.2.I Floors

.3.I Steps, Stairways, Balconies and Railings

.4.I Doors (Representative number)

.5.I Windows (Representative number)

.6.I Outlets, Switches and Fixtures

(I).Bedroom2

Thehomeinspectorshallobserve:Walls,ceiling,andfloors;Steps,stairways,balconies,andrailings;Countersandarepresentativenumberofinstalledcabinets;andArepresentativenumberofdoorsandwindows.Thehomeinspectorshall:Operatearepresentativenumberofwindowsandinteriordoors;andReportsignsofabnormalorharmfulwaterpenetrationintothebuildingorsignsofabnormalorharmfulcondensationonbuildingcomponents.Thehomeinspectorisnotrequiredtoobserve:Paint,wallpaper,andotherfinishtreatmentsontheinteriorwalls,ceilings,andfloors;Carpeting;orDraperies,blinds,orotherwindowtreatments.

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(C).MasterBath

INNINPRR Styles&MaterialsExhaustFans:Fanonly

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace INNINPRR

Comments:

.0.C Counters and Cabinets

.1.C Doors (Representative number)

.2.C Windows

.3.C Plumbing Drain, Waste and Vent Systems

.4.C Plumbing Water Supply and Distribution Systems and Fixtures

.5.C Tub

.6.C Shower

.7.C Shower Enclosure

.8.C Shower and Tub Surround

.9.C Outlets Switches and Fixtures

.10.C Exhaust fan

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(D).Bedroom2Bath

INNINPRR Styles&MaterialsExhaustFans:Fanonly

IN=Inspected,NI=NotInspected,NP=NotPresent,RR=RepairorReplace

Comments:

INNINPRR

.0.D Counters and Cabinets

.1.D Doors (Representative number)

2.D Windows

.3.D Plumbing Drain, Waste and Vent Systems

.4.D Plumbing Water Supply and Distribution Systems and Fixtures

.5.D Tub

.6.D Shower

.7.D Shower Enclosure

.8.D Shower and Tub Surround

.9.D Outlets Switches and Fixtures

.10.D Exhaust fan

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INVOICE

O.E.CINSPECTIONSL.L.CLIGHTHOUSEPOINT,FLORIDAJAMESO’CONNORLICENSEDGENERALCONTRACTOR:CGC1517691OFFICE:754-307-1996FAX:754.307.1996CELL:954.892.7357EMAIL:[email protected]

InspectionDate:6-01-16ReportID:619-001-9

CustomerInfo: InspectionProperty:

BusinessOwner

InspectionFee:Service Price Amount Sub-Total

Tax$TotalPrice

PaymentMethod:PaymentStatus:Note:ThankYou

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e o ners name is __________________________________________________________ e address of t e propert is _____________________________________________________

it ___________________________ State _______________________ ip _____________ee for t e ome inspection is ____________ INS ac no edges recei ing a deposit of _________________from I N

IS N made on ate _______________ and et een _____________________________________ ( ereinafter INS ) and t e undersigned ( ereinafter I N ) co ecti e referred to erein as t e parties

e arties nderstand and o untari gree as fo o s INS agrees to perform a isua inspection of t e ome ui ding and to pro ide I N it a ritten inspection report identif ing t e defects t at INS ot o ser ed and deemed materia

INS ma offer comments as a courtes ut t ese comments i not comprise t e argained for report e report is on supp ementar to t e se er s disc osure n ess ot er ise inconsistent it t is

greement or not possi e INS agrees to perform t e inspection in accordance to t e current Standards of ractice of t e Nationa ssociation of ertified ome Inspectors I N understands t at t ese standards contain certain imitations e ceptions and e c usions

e inspection and report are performed and prepared for t e use of I N o gi es INS permission to discuss o ser ations it rea estate agents o ners repairpersons and ot er interested parties INS accepts no responsi i it for use or misinterpretation t ird parties INS S inspection of t e propert and t e accompan ing report are in no a intended to e a guarantee or

arrant e press or imp ied regarding t e future use opera i it a ita i it or suita i it of t e omeui ding or its components n and a arranties e press or imp ied inc uding arranties of

merc anta i it and fitness for a particu ar purpose are e press e c uded t is greement INS assumes no ia i it for t e cost of repair or rep acement of unreported defects or deficiencies

eit er current or arising in t e future I N ac no edges t at t e ia i it of INS its agentsemp o ees for c aims or damages costs of defense or suit attorne s fees and e penses and pa ments arisingout of or re ated to t e INS S neg igence or reac of an o igation under t is greement inc udingerrors and omissions in t e inspection or t e report s a e imited to i uidated damages in an amounte ua to t e fee paid to t e INS and t is ia i it s a e e c usi e I N ai es an c aim forconse uentia e emp ar specia or incidenta damages or for t e oss of t e use of t e ome ui ding e enif t e I N as een ad ised of t e possi i it of suc damages e parties ac no edge t at t ei uidated damages are not intended as a pena t ut are intended (i) to ref ect t e fact t at actua damages

ma e difficu t and impractica to ascertain (ii) to a ocate ris among t e INS and I N and (iii)to ena e t e INS to perform t e inspection at t e stated fee

INS does not perform engineering arc itectura p um ing or an ot er o function re uiring anoccupationa icense in t e urisdiction ere t e inspection is ta ing p ace un ess

t e inspector o ds a a id occupationa icense in ic case e s e ma inform t e I N t at e s e is so icensed and is t erefore ua ified to go e ond t is asic ome inspection and for additiona fee perform additiona inspections e ond t ose it in t e scope of t e asic ome inspection n agreement for suc additiona inspections s a e in a separate riting or noted ere

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