Property Insurance
Pruitt Insurance offers Homeowners, Dwelling Fire, Renters, Mobile Home, Condo, Windstorm and Flood insurance for full-time and seasonal Florida residents. Builder's Risk policies are also available.

Insurance policies are only available for your property in Brevard and Indian River counties.

This form is in two parts. Fill out PART ONE for fast answers to your insurance questions. If you would like to obtain a quote on property insurance, please continue on to PART TWO

Property Insurance Quote Form

PART ONE - Personal Information 
Work Phone:    	
Home Phone:    	

Comments and Questions:

End of Part One... Scroll down and send
or continue to the insurance quote form:


PART TWO - Insurance Quote Form

What type of insurance quote do you need?

Property Address:

Note: Insurance policies are only available for property
in Brevard and Indian River counties in Florida.

Effective Date Needed:

Previous Insurance:Yes  No
		 If yes, Name of Company:
		 If yes, Expiration Date:

House/Dwelling Value: (not applicable to Renters or Condos)
Is your Residence rented to others?Yes  No

How many months per year is the Residence occupied? 
Use of Home:		 
Use of Home:		 

Distance to Open Water:  
Distance to Fire Hydrant:
Distance to Fire Station:
Year Built:		 
Living Area (Sq.Ft.):		
Construction Type: 	 Masonry Frame
Central Heat & Air?	 Yes  No
Roof Material:		 
Garage/Carport: (Check all that apply)
Carport                1 Car Garage Attached
1 Car Garage Detached  2 Car Garage Attached
2 Car Garage Detached  3 Car Garage Attached

Is your House on Stilts? Yes  No
Safety Features: (Check all that apply)
Smoke Detectors        Local Alarm
Central Alarm          Indoor Sprinklers
Storm Shutters

Does the Residence have a Pool?
(Do not include clubhouse or common area pools.)Yes  No
		 If yes, is it screened or fenced?:
		 (Fence height at least 4 feet) Yes  No

Do you have any dogs? 
		  Yes  No
		 If yes, what breed?: 

Deductible Amount 

Liability Limit   

Renters/Condo Unit-owners Only -  Value of Contents
Loss Assessment Coverage (Condo Only)   

Are the Outside Walls of your Condo insured by the Association?
(Condo Only)	  Yes  No
Value of Interior/Fixtures of condo-unit (not 
covered by the Association): 


Are you interested in purchasing flood insurance?Yes  No
(An agent will contact you regarding the detailed
information required to quote a flood insurance policy).

Additional Coverages or Information:

You may now:

Pruitt Insurance 
33 N. Babcock Street 
Melbourne, Florida  32935 
Phone:  321-254-3639 
Contact Form

Web site hosting by All Brevard Web Sites
Web site hosting by All Brevard Web Sites