Four- Point Insurance Inspection Report

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Four- Point Insurance Inspection Report Date of inspection: Property’s Address: Property’s City, State, Zip Code: Type of home: Type of construction: Type of foundation: Number of stories: Approximate total square feet: Approximate living area: Approximate age of home: Client/owner’s name: Insurance company/policy number: Inspector’s name: Florida Home Inspector license #: InterNACHI ID #: Inspector’s signature: Inspector’s company name: Inspector’s address: Inspector’s city, state, zip code: Inspector’s email address: Inspector’s phone number: Note : A Four-Point Insurance Inspection is typically performed for a homeowner when requested by their insurance company to obtain a new insurance policy or renewing an existing policy. This inspection is a limited visual verification only of the age and current condition of the Roof, A/C, Heat, Plumbing, and Electrical basic components. This Inspector does not make any determination or opinion or approve or disapprove any dwelling for insurability. No guarantee or warranty is implied or offered. Use of this report for any purpose other than to obtain Home Owners Insurance will render this report and its contents null and void. This report is not transferable and cannot be passed onto heirs or others regardless of representation. By payment of the inspection fee, the purchaser of this report becomes the sole owner of this report and agrees to these terms." A Four-Point Insurance Inspection is far less in scope than a standard home inspection. This Four-Point Insurance Inspection is a limited, visual survey of the heating/air conditioning, roof, electrical, and plumbing systems. Age and square footage are from county tax records. Page InterNational Association of Certified Home Inspectors Jul 16, 2012 878 Westchester Drive DeLand, Fl. 32724 Single family Brick frame Slab on grade Two 2196 sq. ft 3222 sq.ft. 24 yrs. John Miller Southern Fidelity John W. Miller HI352 NACHI09041703 PRP Home Inspections 878 Westchester Drive DeLand, Fl. 32724 prp@cfl.rr.com 386-216-1809

Transcript of Four- Point Insurance Inspection Report

Four- Point Insurance Inspection Report

Date of inspection:

Property’s Address:

Property’s City, State, Zip Code:

Type of home:

Type of construction:

Type of foundation:

Number of stories:

Approximate total square feet:

Approximate living area:

Approximate age of home:

Client/owner’s name:

Insurance company/policy number:

Inspector’s name:

Florida Home Inspector license #:

InterNACHI ID #:

Inspector’s signature:

Inspector’s company name:

Inspector’s address:

Inspector’s city, state, zip code:

Inspector’s email address:

Inspector’s phone number:

Note: A Four-Point Insurance Inspection is typically performed for a homeowner when requested by their insurance company to obtain a new insurance policy or renewing an existing policy. This inspection is a limited visual verification only of the age and current condition of the Roof, A/C, Heat, Plumbing, and Electrical basic components. This Inspector does not make any determination or opinion or approve or disapprove any dwelling for insurability. No guarantee or warranty is implied or offered. Use of this report for any purpose other than to obtain Home Owners Insurance will render this report and its contents null and void. This report is not transferable and cannot be passed onto heirs or others regardless of representation. By payment of the inspection fee, the purchaser of this report becomes the sole owner of this report and agrees to these terms." A Four-Point Insurance Inspection is far less in scope than a standard home inspection. This Four-Point Insurance Inspection is a limited, visual survey of the heating/air conditioning, roof, electrical, and plumbing systems. Age and square footage are from county tax records.

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InterNational Association of

Certified Home Inspectors

Jul 16, 2012878 Westchester Drive

DeLand, Fl. 32724Single familyBrick frame

Slab on gradeTwo

2196 sq. ft3222 sq.ft.

24 yrs.John Miller

Southern FidelityJohn W. Miller

HI352NACHI09041703

PRP Home Inspections878 Westchester Drive

DeLand, Fl. [email protected]

Heating/Air Conditioning: Types of heating systems:

Estimated age of heating systems:

Heating systems upgraded? Year?

Condition of heating systems:

Fuel Tank located?

Heating system comments:

Types of cooling systems:

Estimated age of cooling systems:

Cooling systems upgraded? Year?

Condition of cooling system:

Cooling system comments:

Plumbing: Number of bathrooms:

Overall water pressure:

Main supply line material:

Main waste/vent material:

Fixture supply line material:

Fixture drain line material:

Shut off valves present:

Water heater location?

Water heater fuel type?

Estimated age of water heater:

TPR valve present?

Fire sprinkler system present?

Freeze hazards noticed?

Polybutylene noticed?

Plumbing leaks noticed?

Plumbing upgrades? Estimated Year?

Overall plumbing condition:

Plumbing comments:

Address____________________________________________________

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Forced air ducted16 yrs.

Yes 2011GoodNone

SufficientCentral air

16 yrs.Yes 2011

GoodSufficient

FourGoodCopper

PVCPEXPVCYes

GarageElectric9 yrs.YesNoNoNoNo

Yes 2007Good

Sufficient

878 Westchester Dr.

Roof: Roof style:

Type of roof covering:

Estimated age of roof covering

Number of shingle layers:

Type of sheathing:

Flashing damage noticed?

Missing shingles or covering?

Truss or rafter damage noticed?

Evidence of active leaks?

Estimated life expectancy:

Roof comments:

Electrical: Service amps and Brand:

Size of service sufficient?

Fuses or Circuit breakers?

Main panel location:

Panel ground observed?

GFCIs present where required?

AFCIs present in bedrooms?

Single-strand aluminum branch circuit?

Multi-strand aluminum branch circuit?

Active knob and tube wiring?

Exposed or unsafe wiring noticed?

Recent upgrades? Estimated Year?

Overall electrical system condition:

Electrical comments:

Address_______________________________________________________

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GableAsphalt composite shingles

11 yrs.One

PlywoodNoNoNoNo

9 yrs.Sufficient

200 amp ChallengerYes

Circuit breakersGarage

YesYesNoNoNoNoNo

Yes 2007Good

Sufficient

878 Westchester Dr.

Other Comments

Are there any deficiencies, which need correction? If so, explain.

When will the deficiencies be corrected? Please provide an approximate date of completion.

Have all deficiencies been corrected? If so, when was this work completed?

Address__________________________________________________

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878 Westchester Dr.

For insurance carrier to complete

Elevations

Roof

Heating -Cooling

Electrical

Plumbing