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Total Loss Control

By Diane Dixon,2014-12-29 15:01
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Total Loss Control 623 Mound Park Way S, Unit A, St. Petersburg, FL. 33701 Tel: 727-823-2400 Fax: 727-823-2055 Insured: Phone # : Case # : 85006 Address: City: Largo St.: FL Zip: 33770 Insp. #: 22 Policy # County: Pinellas Year Built: 1969 Client: Company: Coverage: Property Agent: Agent #: Date Requested : Date..

    Total Loss Control TLC 623 Mound Park Way S, Unit A, St. Petersburg, FL. 33701

    Tel: 727-823-2400 Fax: 727-823-2055

    Insured: Phone # : Case # : 85006

    City: Largo St.: FL Zip: 33770 Address:

     County: Pinellas Year Built: 1969 Insp. #: 22 Policy #

    Coverage: Property Client: Company:

     Agent: Agent #:

    Date Requested : Date Insp.: Due Date:

    Fire Survey

Person Interviewed Title Owners

Insured’s Interest Owner Tenant

    Type of business Individual Partnership Corporation Association LLC Neighborhood Commercial Industrial Rural Residential

Insured’s Operation Assisted living facility

Who occupies building? 10 Senior adults-licensed for 10

Economy Stable Improving Declining

    Construction Fire Resistive Non-Comb JM MNC Mod. Fire Res. Frame

     Age 1969 Upgraded unknown # Stories 1

Exterior Wall Construction block/stucco

    Interior Wall construction drywall

    Ceiling Construction drywall

    Floor Construction concrete

    Upper Floor None

    Roof Joists Wood Steel Concrete Other Roof Covering shingles Observed No Access

    Vertical openings Yes No

    Reinforced Concrete Wall Yes No Unknown

    Hurricane Straps Yes No Unknown

    Fire Walls Yes No Unknown

    Heating & Cooling HVAC LPG Natural Gas Electric None Other Type Forced Air Wall Floor Radiant

Hazardous Storage Yes No

    Flammables Yes No

    Proper Storage Yes No N/A

    Wiring Romex Conduit Circuit Breaker Fused Rewired Yes No If yes, when?

    Fire Department largo ISO 3 Paid Volunteer Distance to Station? less than 5 miles less than 5 mi 5 to 10 mi. over 10 mi. Hydrant distance 10 ft. Within 500 ft 500 to 1000 ft Not Observed Private hydrants Yes No

    Alternate water source Yes No If yes, describe pond

Previous Losses Yes No If Yes Explain

    Fire hoses each floor Yes No

    Emergency lights Yes No

    Exit signs Yes No

     Lighted Yes No

Evacuation routes posted Yes No

    Emergency stairs Yes No

Panic bars Yes No

    Sprinkler System Yes No Wet Dry Full Partial

Fire Alarm Yes No

     Monitored Yes No

    Pull Station Alarms Yes No

    Smoke Detectors Yes No

Burglar Alarm Yes No

     Type of Alarm Motion Entry Heat Smoke Panic Name of Monitoring Company N/A

    Extinguishers Yes No Not observed Tenant supplied Type ABC Tag Date June 2004 Service Company Piper Fire Protection

PML Building 25 %

    PML Contents 35 %

    Building Condition Satisfactory Unsatisfactory Maintenance Satisfactory Unsatisfactory Trash Removal Satisfactory Unsatisfactory Flammable Storage Satisfactory Unsatisfactory Other Hazards No

Distance to Gulf 1 miles Atlantic miles

Grading Excellent Good Average Below Average Poor

Annual Termite Inspections Yes No

    COMMERCIAL COOKING (Not applicable) AES over Cook Stove Yes No

    Filters Clean Yes No

    Hood Clean Yes No

    Name

    Tag Date

    Service Company

    Cleaning Schedule

    Cleaning Contractor

BUILDING VALUES

DIAGRAM Yes No No Access See Diagram Page

CONTENTS - Required

    Furniture $30,000 Stock 0 Total Value $30,000

RATING BASIS - Required

    Number of employees 5 Payroll $2,500-$3,000 per week Gross Sales Receipts $250,000-

    $300,000

Comments

    Recommendations No Yes See recommendations page

     This report was made only from visual observations and/or verbal interviews. Total Loss Control assumes no legal responsibility for misinformation given to the inspector at the time of the survey, nor should it be implied that there are no other deficiencies on site that may not have been observed by the inspector. We also assume no liability for delayed reports. All of the information is for underwriting purposes only and not intended for any other use.

     DIAGRAM

     TLC Total Loss Control 85006 Insured: Policy #: Address:

    City: Largo St. FL Zip. 33770

    52.0'7.0'

    24.0'

    12.0'

    8.0'

    JM

    66.0'L+1

    47.0'

    68.0'

    SKETCH CALCULATIONSAreaBuilding Area

    Building 14472.0

    Total Building Area4472.0

     Commercial Building Valuation Report

     Policy: 85006 5/05/2006

     INSURED Effective Date:

     Expiration Date:

     Largo, FL 33770 Cost as of: 12/2005

     BUILDING

     Largo, FL 33770

     SECTION 1

     Superstructure

     Occupancy: 100% Multiple Residence, Assisted Liv Story Height: 9 ft.

     Construction Type: 100% Masonry Number of Stories: 1

     Gross Floor Area: 4,472 sq.ft. Irregular Adjustment: None

     Construction Quality: 2 - Average

     Year Built: 1969

     Adjustments

     Depreciation: 13% Effective Age: 10 years Condition: Good

     SUMMARY OF COSTS Replacement

     SUPERSTRUCTURE

     Site Preparation 672

     Foundations 33,858

     Foundation Walls, Interior Foundations, Slab On Ground

     Exterior 113,279

     Framing, Exterior Wall, Structural Floor, Roof

     Interior 55,836

     Floor Finish, Ceiling Finish, Partitions

     Mechanicals 116,979

     Heating, Cooling, Fire Protection, Plumbing, Electrical, Elevators

     Built-ins 30,855

     SUBSTRUCTURE

     TOTAL RC SECTION 1 $351,477

     TOTAL ACV Depreciated Cost (87%) $305,785

     TOTAL RC BUILDING 945 7th Ave NW $351,477

     TOTAL ACV $305,785

     Replacement $/sq.ft. Depreciated $/sq.ft.

     VALUATION GRAND TOTAL $351,477 $78.60 $305,785 $68.38

     INSURED Effective Date:

     Expiration Date:

     Largo, FL 33770 Cost as of: 12/2005

     BUILDING : Superstructure Replacement sq.ft. $/sq.ft. Depreciated

     Section 1: 100% Multiple Residence, Assisted Liv $351,477 4,472 $78.60 $305,785

     BUILDING : Substructure Replacement sq.ft. $/sq.ft. Depreciated

     Section 1: $0 0 $0.00 $305,785

     Section Totals Replacement sq.ft. $/sq.ft. Depreciated

     Section 1: 100% Multiple Residence, Assisted Liv $351,477 4,472 $78.60 $305,785

     VALUATION GRAND TOTAL $351,477 4,472 $78.60 $305,785 MS/B costs include labor and material, normal profit and overhead as of date of report. Costs represent general estimates which are not to be considered a detailed quantity survey. These costs include generalities and assumptions that are common to the types of structures represented in the software.

     ? 2006 Marshall & Swift/Boeckh, LLC and its licensors

    RECOMMENDATIONS PAGE

Insured

    We have conducted a loss control inspection of the above property. In our inspection we have noted the following hazards that need to be addressed:

    1. It is recommended that a licensed fire extinguishing company be contacted to annually inspect and service fire extinguishers in accordance with NFPA standard, #10. Future maintenance on all extinguishers should be performed at

    least annually and a durable tag should be attached to the unit to indicate the date of inspection and recharge.

    2. It is recommended that exit signs and or exit lights be affixed near the doors to assist in an emergency exit as required by NFPA Life Safety Code #101.

Please advise us as to the compliance of these recommendations within days.

     These recommendations concern conditions seen at the time of the inspection. Total Loss Control assumes no legal liability for misinformation given to the inspector at the time of the visit, nor should it be implied that there are no other deficiencies on site that might not be seen by the inspector. We assume no liability for the delayed reports. All information is for underwriting purposes and must be held in strict confidence.

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