Factors used to determine the size of your premium and potential discounts:

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Factors used to determine the size of your premium and potential discounts:













Uniform Mitigation Verification Inspection Form
Maintain a copy of this form with insurance policy
OIR B1- 1802 (Rev. 07/07)

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:

1.

Roof Covering: Date of Installation:



At a minimum meets the 2001 Florida Building Code or the 1994 South Florida Building Code.

Does not meet the above minimum requirements.

Unknown or Undetermined.

2.

Roof Deck Attachment: What is the weakest form of roof deck attachment?


Plywood/OSB roof sheathing attached to the roof truss/rafter (spaced a maximum of 24 o.c.) by 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 resistance of 55 psf.


Plywood/OSB roof sheathing with a minimum thickness of � attached to the roof truss/rafter (spaced a maximum of
24 o.c.) by 8d nails spaced 6 along the edge and 12 in the field.-OR- Any system of screws, nails, adhesives, other deck fastening system or truss/rafter spacing that has an equivalent mean uplift resistance of 103 psf.

Plywood/OSB roof sheathing with a minimum thickness of � attached to the roof truss/rafter (spaced a maximum of
24 o.c.) by 8d nails spaced 6 along the edge and 6 in the field. -OR- Dimensional lumber/Tongue & Groove decking with a minimum of 2 nails per board. -OR- Any system of screws, nails, adhesives, other deck fastening system or truss/rafter spacing that has an equivalent mean uplift resistance of 182 psf.

Reinforced Concrete Roof Deck.

Unknown, unidentified or no attic access.

3.

Roof to Wall Attachment: What is the weakest roof to wall connection?


Toe Nail
Rafter/truss anchored to top plate of wall using nails driven at an angle through the rafter/truss and attached to the top plate of the wall.

Clips
Metal attachments on every rafter/truss that are nailed to one side (or both sides in the case of a diamond type clip) of the rafter/truss and attached to the top plate of the wall frame or embedded in the bond beam.

Single Wraps Metal Straps must be secured to every rafter/truss with a minimum of 3 nails, wrapping over and
securing to the opposite side of the rafter/truss with a minimum of 1 nail. The Strap must be attached to the top plate of the wall frame or embedded in the bond beam in at least one place.

Double Wraps Both Metal Straps must be secured to every rafter/truss with a minimum of 3 nails, wrapping over and
securing to the opposite side of the rafter/truss with a minimum of 1 nail. Each Strap must be attached to the top plate of the wall frame or