The Oir B1 1802 form is a declaration of estimated tax liabilities for the current tax year. This form must be completed and filed by taxpayers who expect to owe at least $1,000 in federal taxes for the year, even if they are expecting to receive a tax refund. The Oir B1 1802 form can be filed electronically or by mail. If you file your taxes electronically, you will need to use the IRS e-file system. If you file by mail, you will need to send your completed form to the IRS address shown on the instructions. Failure to submit this form may result in penalties and interest charges. Make sure to review the instructions carefully before completing this form.
In the table, there's some information relating to the oir b1 1802 form. You may browse it just before writing the form.
| Question | Answer |
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| Form Name | Oir B1 1802 Form |
| Form Length | 4 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min |
| Other names | oir form online, florida mitigation inspection forms, how to mitigation inspection, 4 point inspection form florida |
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Uniform Mitigation Verification Inspection Form |
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Maintain a copy of this form and any documentation provided with the insurance policy |
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Inspection Date: |
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Owner Information |
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Owner Name: |
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Contact Person: |
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Address: |
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Home Phone: |
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City: |
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Zip: |
Work Phone: |
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County: |
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Cell Phone: |
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Insurance Company: |
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Policy #: |
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Year of Home: |
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# of Stories: |
Email: |
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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
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
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 number OR Year of Original Installation/Replacement OR indicate that no information was available to verify compliance for each roof covering identified.
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No Information |
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Permit Application |
FBC or MDC |
Year of Original Installation or |
Provided for |
2.1 Roof Covering Type: |
Date |
Product Approval # |
Replacement |
Compliance |
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□ 1. |
Asphalt/Fiberglass Shingle |
____/____/_______ |
_________________________ |
___________________ |
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□ 2. |
Concrete/Clay Tile |
____/____/_______ |
_________________________ |
___________________ |
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□ 3. |
Metal |
____/____/_______ |
_________________________ |
___________________ |
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□ 4. |
Built Up |
____/____/_______ |
_________________________ |
___________________ |
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□ 5. |
Membrane |
____/____/_______ |
_________________________ |
___________________ |
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□ 6. |
Other______________________ |
____/____/_______ |
_________________________ |
___________________ |
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A. All roof coverings listed above meet the FBC with a FBC or
B. All roof coverings have a
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.
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
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.
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.
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
182psf.
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 within 5 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 of the host structure over unenclosed space in the determination of roof perimeter or roof area for roof geometry classification).
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A. Hip Roof |
Hip roof with no other roof shapes greater than 10% of the total roof system perimeter. |
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Total length of |
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 |
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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
A. SWR (also called Sealed Roof Deck)
B. No SWR.
C. Unknown or undetermined.
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 or inaccuracies found on the form.
7.Opening Protection: What is the weakest form of wind borne debris protection installed on the structure? First, use the table to determine 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
.2, or .3) as applicable.
Opening Protection Level Chart |
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Glazed Openings |
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Non‐Glazed |
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Openings |
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Place an “X” in each row to identify all forms of protection in use for each |
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Windows |
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opening type. Check only one answer below (A thru X), based on the weakest |
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Garage |
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Glass |
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Entry |
Garage |
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or Entry |
Skylights |
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form of protection (lowest row) for any of the Glazed openings and indicate |
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Doors |
Block |
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Doors |
Doors |
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Doors |
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the weakest form of protection (lowest row) for Non‐Glazed openings. |
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N/A Not Applicable‐ there are no openings of this type on the structure |
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AVerified cyclic pressure & large missile (9‐lb for windows doors/4.5 lb for skylights)
BVerified cyclic pressure & large missile (4‐8 lb for windows doors/2 lb for skylights)
CVerified plywood/OSB meeting Table 1609.1.2 of the FBC 2007
D |
Verified Non‐Glazed Entry or Garage doors indicating compliance with ASTM E |
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330, ANSI/DASMA 108, or PA/TAS 202 for wind pressure resistance |
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N |
Opening Protection products that appear to be A or B but are not verified |
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Other protective coverings that cannot be identified as A, B, or C |
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XNo Windborne Debris Protection
A. Exterior Openings Cyclic Pressure and
Florida Building Code Testing Application Standard (TAS) 201, 202, and 203
American Society for Testing and Materials (ASTM) E 1886 and ASTM E 1996
Southern Standards Technical Document (SSTD) 12
For Skylights Only: ASTM E 1886 and ASTM E 1996
For Garage Doors Only: ANSI/DASMA 115
A.1 All
A.2 One or More
A.3 One or More
B. Exterior Opening Protection- Cyclic Pressure and 4 to
ASTM E 1886 and ASTM E 1996 (Large Missile – 4.5 lb.)
SSTD 12 (Large Missile – 4 lb. to 8 lb.)
For Skylights Only: ASTM E 1886 and ASTM E 1996 (Large Missile - 2 to 4.5 lb.)
B.1 All
B.2 One or More
B.3 One or More
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
C.2 One or More
C.3 One or More
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 or inaccuracies found on the form.
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
N.2 One or More
N.3 One or More
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:
Inspection Company:
License Type: |
License or Certificate #: |
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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 Statues, 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
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 or inaccuracies found on the form.