1732 ATLANTIC BCH DR TERMITE GO6694 Columbia Park Dr S THIS AGREEMENT PROVIDES FOR
Suite 3 RETREATMENT OF A STRUCTURE
Home Tieam Jacksonville,FL 32258-2409 AND THE REPAIR OF DAMAGES
P E S T u E r E 11 s P 904-730.2522 CAUSED BY WOOD DESTROYING
www.pestdefense.com ORGANISMS WITHIN THE LIMITS
STATED IN THIS AGREEMENT.
Account No.:2864003
SUBTERRANEAN TERMITE REPAIR AGREEMENT
Section I. GENERAL INFORMATION.
Name: TOLL BROTHERS/LOT 76 ABCC Billing Address: 1732 ATLANTIC BEACH DR
Service Address: 1732 ATLANTIC BEACH DR City: ATLANTIC BEACH
City: ATLANTIC BEACH State: FL Zip Code:32233
State: FL Zip Code: 32233 Home Phone:
Work Phone:
Section II.INSPECTION FINDINGS.
The condition of tine readily accessible areas of the structures)located at the Service Address on the date of the inspection only is listed below:
a. M No Visible evidence of previous or current subterranean termite infestation was observed.
b. ❑Visible evidence of a subterranean termite infestation was observed as follows:
❑Live subterranean termites(description and location indicated on rhe attached graph)
❑Termite parts,exit holes or shelter tubes(description and location indicated on the attached graph)
0 Damage from subterranean termites was noted in the following area(s):
Any damage noted above should be considered only as evidence of current or previous infestation of subterranean termites.If any of the bares in subsection
b.above are checked,some degree of damage,including hidden damage,may be present The inspector's training and experience do not qualify the
inspector in damage evaluation or any other building construction technology and/or repair.Any visible evidence observed above appears:
❑Active; 0 Inactive; ❑Activity cannot be determined without further investigation.Reason:
In many cases,based upon visible signs of infestation by subterranean termites,it is not passible to ascertain whether an infestation is active or inactive
without benefit of subsequent Inspections and evaluations over a period of time
❑ It appears that the structure(s)or a portion of the structure(s)may have been previously treated.Evidence of previous treatment:
Section 111. OBSTRUCTIONS AND INACCESSIBLE AREAS.
The following areas of the structure(s)inspected were obstructed or inaccessible(see Section VILI under General Terms and Condidonv):
❑ Basement ❑Exterior 0 Crawl Space ❑Porch ❑Main Level ❑Addition ❑Attie ❑ Garage ❑ Other
Comments:
Section IV. ADDITIONAL COMMENTS.
Section V.TYPE OF TREATMENT.
(See reverse side for a description of the Company's obligation to retreat
❑Post Construction Corrective Treatment and to repair damage caused by subterranean termites.)
❑Post Construction Preventative Treatment
Location of Treatment Sticker
1� Pre-Construction Treatment
❑Other
Treatment is provided against the attack of subterranean termites(Reticulitermes spp.,Heterotermes spp.and Coptotermes spp.(Formosan)),but does not protea
against any other pests,plant,animal or organism other than subterranean termites.During the term of this Agreement,HomeTeam Pest Defense,Inc.(the"Company")
will re-inspect the treated structure(s)annually or at more frequent intervals as the Company deems necessary upon Customer's request,subject to the General Terms
and Conditions on the reverse side.Customer agrees to make the treated struchrre(s)available for re-inspection.The Company will retreat the treated structure(s)only
upon(a)visual evidence of a live termite infestation or(b)disturbance of the soil surrounding the treated structure(s).The Company has not inspected or treated he
structure(s)for health-related molds or fungi.By law,the Company is not qualified,authorized or licensed to inspect for health-related molds or fungi.
Actual Treatment Date: 8/16/18 PAYMENT METHOD:
Initial Treatment Date: All 6/1 R ❑Cash ❑Check 0 Credit Card
Down Payment: $ 0 00
Balance Due: S n nn
Annual Renewal: S 475.(1(1 If paying by credit card or recurring debit from your bank account,please
complete the attached AtithoTlZalion for Pre-Arranged Payments.
This Agreement contains certain limitations,conditions and exclusions on the Company's obligations.Please read the entire Agreement before signing.
In consideration for the Company performing the services specified above and subject to the terms and conditions of this Agreement,Customer agrees to make the
payments indicated above.Customer acknoNicdges receipt of a signed copy of this Agreement.This Agreement is not binding on the Company until signed by an
authorized manager or executive officer of the Company.
CUSTOMER: HOMETEAM PLST DEFENSE,INC.
Signature: Signature: UUSW CLAW
Printed Name: _ Printed Name: SUSAN CLARK
Email: Effective Date: 8/16/18
RIGHT TO CANCEL:YOU,THE CUSTOMER,MAY CANCEL THIS TRANSAC 7ON AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS
DAYAFTER THE DATE OF THIS TRANSACTION,SEE THE ATTACHED NOTICE OF CANCELLATION FOR AN EXPLANATION OF THIS RIGHT.
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Subterranean Termite Protection Builder's Guarantee OMB Approval p.05/3 /018)
(exp.05130!2018)
This form is completed by the builder.
Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions,
searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information.This
information is required to obtain benefits.HUD may not collect this information,and you are not required to complete this form,unless it displays a
currently valid OMB control number.Section 24 CFR 200.926d(b)(3)requires that the sites for HUD insured structures must be free of termite
hazards.This information collection requires a licensed Pest Control company to provide the builder a record of specific treatment information in those
cases when if any method other than use of pressure treated lumber is used for prevention of subterranean termite infestation.When applicable,form
HUD-NPMA-99-B must accompany the form HUD-NPMA-99-A.Builders,pest control companies,mortgage lenders,homebuyers,and HUD as a
record of treatment for specific homes will use the information collected.The information is not considered confidential,therefore no assurance of
confidentiality is provided.
This form is submitted for proposed(new)construction cases when prevention of subterranean termite infestation is specified by the builder or required by the
lender,the architect,FHA or VA.
This form is to be completed by the builder.This guarantee is issued by the builder to the buyer.This guarantee is not to be considered as a waiver of,or in place of,
any legal rights or remedies that the buyer may have against the builder.
FHA/VA Case No.:
Location of Structure(s)(Street Address,or Legal Description,City,State and Zip):
1732 Atlantic Beach Drive,Atlantic Beach,FL,32233
Buyer's Name:
Builder is to check and complete either box 1 or box 2.
1. n Pest Control Company Applied Treatment(See HUD-NPMA 99B for treatment information)
The undersigned builder hereby certifies that a State licensed or otherwise authorized pest control company(where required by State law)was contracted to
treat the property at the location referenced above to prevent subterranean termites.The builder further certifies that the contract with the pest control
company required the treatment materials and methods used to be in conformance with all applicable State and Federal requirements.All work required by
the contract has been completed unless noted on HUD-NPMA 99B.Where not prohibited by applicable State requirements,the buyer,for an additional fee
payable to the pest control company,may extend the protection against subterranean termites.Contact the pest control company listed on the attachment
for further information.
The builder hereby guarantees that,if subterranean termite infestation should occur within one year from the date of closing,the builder will ensure that a
licensed or otherwise State authorized pest control company will treat as necessary to control infestations in the structure.This further treatment will be
without cost to the buyer.If permitted by State law,the buyer may contract directly,at the buyer's expense,with a pest control company to inspect the
property on a periodic basis and use EPA registered products to control any infestation.The builder will not be responsible for guaranteeing such contracted
work.The builder further agrees to repair all damage by subterranean termites within the one-year builder's warranty period.This guarantee does not apply
to additions or alterations that are made by the buyer,which affects the original structure or treatment.Examples include,but are not limited to,landscape
and mulch alterations,which disturb the treated area and create new subterranean termite hazards,or interfere with the control measures.If within the
guarantee period the builder questions the validity of a claim by the buyer,the claim will be investigated by an unbiased expert mutually agreeable to the
buyer and builder.The report of the expert will be accepted as the basis for disposition of the case.The non-prevailing party will pay the cost of any
inspections made to investigate the claim.For further information,contact your State structural pest control regulatory agency.All service must be in
compliance with the International Residential Code.
ype of Service: F_ Termite Bait System ® Field Applied Wood Treatment Soil Treatment Installed Physical Barrier System
2, ,, Builder Installed Subterranean Termite Prevention using Pressure Treated Lumber
The builder certifies that subterranean termite prevention was installed using pressure treated lumber only and certifies that use of the pressure treated
lumber is in compliance with applicable building codes and HUD requirements including Mortgagee Letter 2001-04.Note:Using pressure treated sills as
a sole method of termite prevention is NOT acceptable and violates the requirements of Mortgagee Letter 2001-04.
Initial of Builder Date
Attachments:
Builder's Company Name: Toll Brothers Inc Phone No.: 904-217-0739
Builder's Signature: Date:
Consumer Maintenance Advisory regarding integrated Pest Management for Prevention of Wood Destroying insects.Information regarding prevention of
wood destroying insect infestation is helpful to any property owner interested in protecting the structure from infestation.Any structure can be attacked by wood
destroying insects.Periodic mainte nance should include measures to minimize possibilities of infestation in and around a structure.Factors which may lead to
infestation from wood destroying insects include foam insulation at foundation,earth-wood contact,faulty grade,firewood against structure,insufficient ventilation,
moisture.wood debris in crawl space,wood mulch,tree branches touching structures,landscape timbers,and wood rot.Should these or other such conditions
exist,corrective measure should be taken by the owner in order to reduce the chances of infestations by wood destroying insects,and the need for treatment.
An original and one copy of this guarantee are to be prepared by the builder and sent to the lender.The lender provides one copy to the buyer at closing and
includes a copy in the VA loan package or HUD insurance case binder.The builder sends one copy to the licensed pest control company which performed the
treatment.
Attached is a copy of the state authorized pest control company's New Construction Subterranean Termite Service Record,HUD-NPMA-99-B.
Warning:HUD will prosecute false claims and statements.Conviction may result in criminal and/or civil penalties.(18 U.S.C. 1001. 1010, 1012:31 U.S.C.3729.3802)
form HUD-NPMA-99-A(8/2008)
New Construction Subterranean Termite OMB Approval No.2502-0525
Service Record (exp.05/30/2018)
This form is completed by the licensed Pest Control Company
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing
instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information.
This information is required to obtain benefits.HUD may not collect this information,and you are not required to complete this form, unless it displays
a currently valid OMB control number.
Section 24 CFR 200.926d(b)(3)requires that the sites for HUD insured structures must be free of termite hazards.This information collection requires
the builder to certify that an authorized Pest Control company performed all required treatment for termites,and that the builder guarantees the
treated area against infestation for one year.Builders,pest control companies,mortgage lenders,homebuyers,and HUD as a record of treatment for
specific homes will use the information collected.The information is not considered confidential,therefore no assurance of confidentiality is provided.
This report is submitted for informational purposes to the builder on proposed(new)construction cases when treatment for prevention of subterranean
termite infestation is specified by the builder,architect,or required by the lender,architect,FHA,or VA.
All contracts for services are between the Pest Control company and builder, unless stated otherwise.
Section 1:General Information(Pest Control Company Information)
Company Name HomeTeam Pest Defense, Inc.
Company Address 6694 Columbia Park Drive City Jacksonville State FL Zip 32258-2409
Company Business License No, 1640370000 Company Phone No. 904-730-2522
FHA/VA Case No.(if any)
Section 2: Builder Information
Company Name Toll Brothers Inc Phone No. 904-217-0739
Section 3:Property Information
Location of Structure(s)Treated(Street Address or Legal Description,City,State and Zip) 1732 Atlantic Beach Drive,Atlantic Beach,
FL,32233
Section 4:Treatment Information
Date(s)of Service(s) 8/16/18
Type of Construction(More than one box may be checked) ®Slab I Basement F Crawl F Other
Check all that apply:
F— A.Soil Applied Liquid Termiticide
Brand Name of EPA Registration No.
Termiticide:
Approx.Dilution(%): Approx.Total Gallons Mix Applied: Treatment completed on exterior:®Yes No
B.Wood Applied Liquid Termiticide
Brand Name of Bora-Care EPA Registration 64405-1-AA
Termiticide: No.
Approx.Dilution(%): 23 Approx.Total Gallons Mix Applied: 3
C.Bait system Installed
Name of System: EPA Registration Number of Stations
No. installed
D.Physical Barrier System Installed
Name of System: Attach installation information(required)
Service Agreement Available? LJ Yes E No
Note:Some state laws require service agreements to be issued.This form does not preempt state law.
Attachments(List)
Comments
Name of Applicator(s) REID SMITH Certification No.(if required by State law) JE252234
The applicator has used a product in accordance with the product label and state requirements. All materials and methods used comply with state
and federal regulations.
Authorized Signature 4�4Date 08/16/18
Warning:HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties.(18 U.S.C.1001,1010.1012;31 U.S.C.3729,3802)
form HUD-NPMA-99-B(08/2008)
c
HomeTeam
PEST DEC E B 5['
New Construction Subterranean Termite Treatment
This report is submitted for information purposes to the builder on(new)construction cases where treatment for prevention of
subterranean termite infestation is required by the Florida Building Code,Section 104.2.6.
All contracts for services are between the Pest Control Operator and builder, unless stated otherwise
Section 1: Hometeam Pest Defense
Company Address:6694 Columbia Park Drive City:Jacksonville State:FL
32258-
Zip: 409
2409 Company Phone No.:904-730-2522 Business License No.: 1640370000
Section 2: Builder Information
Company Name:Toll Brothers Inc
Phone No.:
Section 3: Property Information
Building Permit No.:
Location of Structure(s)Treated:1732 Atlantic Beach Drive,Atlantic
Type of Construction: N Slab ❑Basement ❑Crawl ❑Other
Approximate Depth of Footing: Outside: Inside: Type Fill:
Section 4: Treatment Information
Date(s)of Treatment(s):8/16/18 EPA Registration No.:64405-1-AA
Brand Name of Product(s)Used:Bora-Care
Final Mix Solution:23 Treatment Area Sq.Ft.:4200
Linear Ft.262 Linear Ft.of Masonry Voids:
Total Gallons of Termiticide Applied: 3
Service Agreement Available? ®Yes ❑No This building has received a complete treatment for the
Liquid treatment: ❑Yes ®No prevention of subterranean termites.Treatment is in
Liquid Final exterior treatment: ❑Yes ®No accordance with the rules and laws established by the
Borate treatment: ®Yes ❑No Florida Department of Agricultural and Consumer
Bait in lieu of Pretreat: ❑Yes El No Services. Initial
Note:Some State laws require service agreements to be issued. This form does not preempt State law.
Attachments(List)
Comments
Name of Applicator(s):READ/)S(MIT,�H y Certification No.: JE252234
Authorized Signature Vv�1rV CLr\� Date 08/16/18
RC+NT9/05