4 Point Form Details

This post will provide an overview of the four point inspection form that is typically completed during a home's pre-sale inspection. The form provides important details about the condition of various aspects of the property, including structural integrity, safety hazards, and any necessary repairs needed before moving forward with a purchase. We'll also cover what to expect at this type of inspection so you know how to prepare. The 4 Point Inspection Form is typically conducted by licensed professionals prior to purchasing a new home in order to ensure its quality and safety for living purposes. It includes detailed information on each room in the house as well as other general features such as electrical outlets or water faucets.

The table includes information regarding the 4 point inspection form. This figure provides specifics of the form's length, finalization duration, and the areas you may be needed to fill.

QuestionAnswer
Form Name4 Point Inspection Form
Form Length3 pages
Fillable?Yes
Fillable fields93
Avg. time to fill out19 min 25 sec
Other namescitizens 4 point inspection form, citizens 4 point form, 4 point inspection form pdf, 4 point inspection form

Form Preview Example

 

 

 

 

4-Point Inspection – Personal Lines

 

 

 

 

 

 

 

 

 

(Edition 9/2012)

 

 

 

INSURED/APPLICANT NAME

 

APPLICATION / POLICY #

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS INSPECTED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACTUAL YEAR BUILT:

DATE INSPECTED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Minimum Photo Requirement:

 

 

 

 

 

 

 

Front elevation Rear elevation

 

 

 

 

 

 

Open Main Electrical Panel and interior door

HVAC 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 PROVIDED AND CERTIFIED BY A LICENSED ELECTRICIAN)

 

 

Age of Main Panel:

 

 

Year Last Updated:

 

Total Amps:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wiring Type

 

 

Main Panel Amps

 

Panel #2

 

 

 

 

 

Romex, BX, or

 

 

Less than 60 A

 

Less than 60A Fuse

 

 

 

 

 

Conduit:

 

 

Fuse

 

 

 

60A Fuse

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Active Knob & Tube

 

 

60A Fuse

 

 

 

100A Fuse

 

 

 

 

 

or cloth wiring:

 

 

 

 

 

 

 

 

 

 

 

 

 

100A Fuse

 

100A CB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Aluminum*:

 

 

 

 

 

 

 

 

 

 

 

 

 

100A CB

 

 

 

200A CB:

 

 

 

 

 

 

_________

 

 

 

 

 

 

 

 

 

Other (specify):

 

 

 

 

 

 

 

 

 

 

 

200A CB:

 

 

 

 

 

 

 

 

 

 

 

_________

 

Other (specify):

__________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (specify):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hazards Present

 

 

 

 

 

 

* If single strand (aluminum branch) wiring,

 

 

 

 

Blowing Fuses or

 

 

Over Fusing

 

provide details of all remediation. Separate

 

 

 

 

 

 

 

 

 

 

documentation of all work must be provided

 

 

 

 

Breakers

 

 

Hazardous Panel

 

 

 

 

 

 

 

 

and certified by a licensed electrician.

 

 

 

 

Empty Breaker

 

 

Double Taps

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sockets

 

 

Exposed/Unsafe

 

Entire home rewired

 

 

 

 

 

 

 

 

 

with copper

 

 

 

 

 

Loose Wiring

 

 

Wiring

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Improper

 

 

Other (explain)

 

Connections repaired

 

 

 

 

 

 

 

 

via COPALUM crimp

 

 

 

 

 

Grounding

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is the electrical system in good working order?

Yes No (explain)

 

Connections repaired

 

 

 

 

 

 

via AlumiConn

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use the Additional Comments/Observations Section below to provide full details of all updates, hazards, etc.

HEATING SYSTEM

 

Age of System:

Year Last Updated:

 

 

 

Central HVAC

Yes

No

 

 

 

 

 

 

 

 

 

If not central,

___________

 

 

 

 

 

 

 

 

 

 

 

Are the heating, ventilation and air

Hazards Present

 

 

 

indicate primary

___________

 

 

 

 

 

heat source and fuel

 

 

conditioning systems in good

Wood Burning Stove

 

 

 

___________

 

 

 

 

 

type:

 

 

working order?

 

 

 

 

 

or central gas

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is the source

 

 

 

 

 

 

 

fireplace not

 

 

 

 

 

 

 

 

 

 

Yes

No

 

portable?

Yes

No

 

 

Yes

No (explain)

professionally

 

 

 

 

 

 

 

 

 

 

 

installed?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Space heater used

 

 

 

 

 

 

 

 

 

 

 

as primary heat

Yes

No

 

 

 

 

 

 

 

 

 

source?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use the Additional Comments/Observations Section below to provide full details of all updates, hazards, etc.

Citizens Insp4pt 09 12Page 1 of 3

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 Citizens Property Insurance Corporation.

If another inspection form is used, it must provide the same level of detail as found on this report.

 

 

 

 

 

 

 

4-Point Inspection – Personal Lines

 

 

 

 

 

 

 

 

 

 

 

(Edition 9/2012)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLUMBING SYSTEM

 

 

 

 

 

 

 

 

 

 

 

Age of System:

 

 

Year Last Updated:

 

 

Deficiencies (check all that apply):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Pipes

 

 

 

 

 

Active leak

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Copper:

 

 

Is the plumbing system in good

Indication of prior leak(s)

 

 

 

 

PVC:

 

 

working order?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Galvanized:

 

 

 

 

 

Connections/Hoses leaking

 

 

 

 

 

 

 

 

 

or cracked

 

 

 

 

Polybutylene:

 

 

Yes No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (specify):

_________

 

 

 

 

Water Heater (explain)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (explain)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use the Additional Comments/Observations Section below to provide full details of all updates, hazards, deficiencies, etc.

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

 

Age of Roof

 

 

Predominant Roof

 

 

 

Roof Useful

 

 

 

(years):

____________

 

Covering Material:

____________

 

Remaining Life:

___________

 

 

Date of Last

 

 

Date of Last Roofing

 

 

 

 

 

 

 

Update:

 

 

Permit:

 

 

 

 

 

 

 

If updated

 

 

Any visible signs of

 

 

 

Overall Condition of Roof:

 

 

 

 

 

 

 

 

 

 

 

(check one):

 

 

damage/deterioration?

Yes

No

 

Excellent

 

 

 

 

 

 

(e.g. curling/lifted/

 

 

 

 

Full Replacement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

loose/missing shingles

 

 

 

Good

 

 

 

Partial

 

 

 

 

 

 

 

 

 

 

or tiles, sagging or

 

 

 

Fair

 

 

 

Replacement

 

 

 

 

 

 

 

 

 

 

uneven roof deck)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Poor (explain)

 

 

 

% of Replacement

____________

 

Any signs of visible

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

leaks?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use the Additional Comments/Observations Section below to provide full details of all updates, hazards, etc.

ADDITIONAL COMMENTS OR OBSERVATIONS:

I CERTIFY THAT I PERSONALLY INSPECTED THE PREMISES AT THE LOCATION ADDRESS LISTED ABOVE ON THE INSPECTION DATE NOTED. I CERTIFY THAT THE ABOVE STATEMENTS ARE TRUE AND CORRECT.

INSPECTOR SIGNATURE

TITLE

LICENSE NUMBER

DATE

Citizens Insp4pt 09 12Page 2 of 3

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 Citizens Property Insurance Corporation.

If another inspection form is used, it must provide the same level of detail as found on this report.

4-Point Inspection – Personal Lines

Special Instructions

A 4-Point Inspection is required for all homeowner, dwelling and mobile home

applications for properties over 30 years old.

The Citizens 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 Citizens.

PHOTO REQUIREMENTS

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 REQUIREMENTS

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 Citizens Rules Manual.

INSPECTOR REQUIREMENTS

All inspections must be performed (and certified) by the appropriately Florida-licensed professional.

Without a verifiable, certified inspector’s dated signature, the documentation 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

Any hazards/deficiencies are present

completed, date completed and by whom)

 

Any system determined to be NOT in good working order.

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 Citizens rules and requirements are met before

the application is bound.

Citizens Insp4pt 09 12Page 3 of 3

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 Citizens Property Insurance Corporation.

If another inspection form is used, it must provide the same level of detail as found on this report.

How to Edit 4 Point Inspection Form

The PDF editor you will benefit from was developed by our top level software engineers. One could fill in the 4 point inspection citizens document promptly and effortlessly with this application. Merely stick to this procedure to start out.

Step 1: Locate the button "Get Form Here" and press it.

Step 2: At the moment, it is possible to update the 4 point inspection citizens. Our multifunctional toolbar makes it possible to include, delete, transform, highlight, and conduct many other commands to the content and areas inside the document.

All of the following sections are what you are going to complete to get your ready PDF form.

florida 4 point inspection form fields to complete

Complete the Improper Grounding, Is the electrical system in good, Yes, No (explain), Use the Additional, HEATING SYSTEM Age of System:, Are the heating, Yes, No (explain), Year Last Updated:, Hazards Present, Wood Burning Stove or central gas, Space heater used as primary heat, Central HVAC If not central, and Yes fields with any details that may be demanded by the platform.

Improper Grounding, Is the electrical system in good, Yes, No (explain), Use the Additional, HEATING SYSTEM Age of System:, Are the heating, Yes, No (explain), Year Last Updated:, Hazards Present, Wood Burning Stove or central gas, Space heater used as primary heat, Central HVAC If not central, and Yes in florida 4 point inspection form

Within the area dealing with PLUMBING SYSTEM Age of System:, Type of Pipes, Copper:, PVC:, Galvanized:, Polybutylene:, Other (specify):, Year Last Updated:, Is the plumbing system in good, Yes, Deficiencies (check all that, Active leak, Indication of prior leak(s), Connections/Hoses leaking or, and Water Heater (explain), you have got to type in some appropriate details.

step 3 to finishing florida 4 point inspection form

The Partial Replacement, % of Replacement, damage/deterioration, Any signs of visible leaks, Yes, Fair, Poor (explain), Use the Additional, ADDITIONAL COMMENTS OR, and I CERTIFY THAT I PERSONALLY section will be the place to place the rights and responsibilities of all parties.

florida 4 point inspection form Partial Replacement, % of Replacement, damage/deterioration, Any signs of visible leaks, Yes, Fair, Poor (explain), Use the Additional, ADDITIONAL COMMENTS OR, and I CERTIFY THAT I PERSONALLY fields to fill

Fill in the file by reading the following fields: INSPECTOR SIGNATURE, TITLE, LICENSE NUMBER, DATE, Citizens – Insp4pt 09 12, Page 2 of 3, This form has been made available, If another inspection form is, and eligibility/acceptability with.

Entering details in florida 4 point inspection form part 5

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