Quick Quote

Residential Property Quick Quote

We can get you a quote in less than 59 minutes!

Use this form for homeowners, condo, flood, landlord, and vacation rental quotes in Santa Rosa Beach and along 30A. Commercial buildings have a separate form. A quote request is not a binder and does not place coverage. Any policy is subject to underwriting, inspection, and carrier acceptance.

Please fill out the form in its entirety.

Insured info

Company/Entity Name (optional)

Type of Company (optional)

Personal name of owner (required)

Birthday of owner (required)

Your current primary residence address (required)

Phone (required)

Email (required)

Property address

Property address (required)

City (required)

State (required)

ZIP (required)

How the home is used

Occupancy type (required)

If rental, minimum leasing period allowed? (optional)

Multi family rental? If so, # of families? (optional)

Is there a property management company? (optional)

Yes or no. If yes, include the company name.

Renewal / expiration date of current policy (optional)

Construction

Construction (optional)

Year built (optional)

Square ft (optional)

Number of stories (optional)

Exterior siding (optional)

Roof Year (optional)

Year built or replaced

Roof Material (optional)

Year of update (4-point)

Year of Update — HVAC (optional)

Year of Update — Hot Water Heater (optional)

Year of Update — Plumbing (Fixtures/lines) (optional)

Year of Update — Electrical Panels (optional)

Upload wind mit / 4 point / current insurance

Attach wind mit / inspection (optional)

PDF, JPG, PNG, HEIC, DOC, or DOCX. 10 MB each. The file is delivered to the agency with this request.

Attach 4 point / inspection (optional)

PDF, JPG, PNG, HEIC, DOC, or DOCX. 10 MB each. The file is delivered to the agency with this request.

Attach current insurance policy (optional)

PDF, JPG, PNG, HEIC, DOC, or DOCX. 10 MB each. The file is delivered to the agency with this request.

Notes to agent (optional)

By clicking SEND I provide my electronic signature and express written consent to calls, text messages, emails, and postal mail from this Web Site and from Lucleon Insurance LLC. I consent to calls and text messages transmitting insurance quotes, or seeking related additional information from me. I consent that my signature is not a condition of purchasing any property, goods, or services and that I may revoke my consent at any time.

A quote request is not a binder and does not place coverage. Any policy is subject to underwriting, inspection, and carrier acceptance.

Sends this request to Steven@LucleonInsurance.com. Or call (850) 361-2882.