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FLOOD DISASTER REASSESSMENT WORKSHEET Property Owner: Date of Inspection: Address: Property ID: Contact Number: Name of Inspector: Property Type: Homestead/Non-Homestead H Non-H (Business; Residential; Seasonal; Resort; Exempt) Structural Damage (Select Range of loss in Value) 5-10% Minor Cracking/Minor Fatigue 25-50% Major bowing and cracking of foundation 75-100% House twisted on foundation Enter % Amount Water Damage (Select Range of loss in value) No Value Loss Some water seepage - no finish in Bsmt. Enter % Amount 10% Loss of Furnace, Water Heater, and Electrical - unfinished basement 20% Minimal Basement Finish (inc. insulation rough electrical & mechanical) 30% Fully Finished Basement (inc. partitioned walls, electrical & mechanical, etc.) 50% Water level on main living area but below top of baseboard - roughly 6" or less 95% Water level on main living area above top of baseboard - roughly 6" or greater COMMENTS SUMMARY OF DAMAGE ASSESSMENT Main Buildings COUNTY: Strutural % Water Damage % Total % of Damage Pre-Disaster EMV (building value only) Total Value Loss FEMA: Not Affected ADDITIONS TO HOUSE: Estimated dollar value only Porches, Decks, etc. (Please list separately) OUTBUILDINGS: Estimated dollar value only Garages (Detached); Pole Buildings; Sheds (Please list separately) (Circle One) Affected Photo Notes Comments Minor Major # Taken Destroyed