860 Paradise Ln 2014 CO --- . — I----- -----
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
C E R T I F I C A T E 0 F 0 C C U P A N C Y
P E R M A N E N T
Issue Date . . . . . . 7/10/14
Parcel Number . . . . . 172376-0135
Property Address . . . 860 PARADISE LN
ATLANTIC BEACH FL 32233
Subdivision Name . . .
Legal Description . . .
Property Zoning . . . . TO BE UPDATED
Owner . . . . . . . . . BOB CHRIS LLC
Contractor . . . . . . ELITE HOMES INC.
904 349-2803
Application number 13-00003417 000 000
Description of Work SINGLE FAMILY RESIDENCE
Construction type . . . TYPE 5-B
Occupancy type . . . . RESIDENTIAL
Flood Zone . . . . . . ZONE A
Approved . . . . . . .
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY WORKSHEET
Date Requested: /
Contractor Name:
Permit #: 2- "
Property Address: g6e AvadI3�_ Z-7)
Legal Description:
Improvements to the above-described property L been completed in
accordance with the terms of the permit and are -tified to be ready for
occupancy as:
Single-Family Residence
Commercial
F-� Other:
Lowest Floor Elevation:
Required As F It FFE
Thefollowing must be completed before issuing Certiflu -,.te of Occupancy:
Department Date Notified Date Approved Approved By
Fire,l)cpt.
Public Works
Public Utilities 106
Building
Planning
Tree Mitigation
Satisfied
Final Survey with FFE Yes, No
All Re-Inspect Fees Paid _V�Yes No
Termite Treatment Ve"'Yes No
Graham, Shirle
From: Walker, Chris
Sent: Thursday, July 10, 2014 8:34 AM
To: Walker, Jennifer
Cc: Graham, Shirley
Subject: 860 Paradise Lane
Everything is good here for Chris Lambertson.
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Aw~�1904-247-58711
Graham, Shirley
From: Daniels, Freddie
Sent: Thursday, July 10, 2014 3:41 PIVI
To: Walker, Jennifer
Cc: Graham, Shirley,- Nodine, Phil; Carper, Rick-, Layton, Douglas
Subject: RE: CO insoection
Approve PW
From: Walker, Jennifer
Sent: Wednesday, July 09, 2014 4:37 PM
To: Layton, Douglas; Carper, Rick; Daniels, Freddie; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Arlington,
Daniel
Cc: Jones, Mike; Hubsch, Jeremy; Reeves, Derek; Graham, Shirley
Subject: CO inspection
Chris Lambertson of Elite Homes is requesting his CO inspection for 860 Paradise Lane, Permit# 13-3417. Please
respond to Shirley and Jenny. Chris number is 349-2803.
Thank you,
JeVI'o,U WcOzev-
Administrative Assistant
Building Department
City of Atlantic Beach
904-247-5826
Walker, Jennifer
From: Clemons, Malcolm
Sent: Thursday, July 10, 2014 1:49 PM
To: Walker, Jennifer
Cc: Graham, Shirley-, Kaluzniak, Donna
S u bj ect: RE: CO inspection
Backflow inspection OK. Malcolm
From: Walker, Jennifer
Sent: Wednesday, July 09, 2014 4:37 PM
To: Layton, Douglas; Carper, Rick; Daniels, Freddie; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Arlington,
Daniel
Cc: Jones, Mike; Hubsch, Jeremy; Reeve, , Derek; Graham, Shirley
Subject: CO inspection
Chris Lambertson of Elite Homes is requesting his CO inspection for 860 Paradise Lane, Permit# 13-3417. Please
respond to Shirley and Jenny. Chris number is 349-2803.
Thank you,
jeowuu WcOzey-
Administrative Assistant
Building Department
City of Atlantic Beach
904-247-5826
Graham, Shirley
From: Clemons, P,,'-llcolm
Sent: Thursday, ju y 10, 2014 1:49 PIVI
To: Walker, Jennifer
Cc: Graham, Shirley; Kaluzniak, Donna
Subject: RE: CO inspection
Backflow inspection OK. Malcolm
From: Walker, Jennifer
Sent: Wednesday, July 09, 2014 4:37 PIVI
To: Layton, Douglas; Carper, Rick; Daniels, Freddie; Kaluzniak, Donna; Walker, Chris; Clemons, Malcolm; Arlington,
Daniel
Cc: Jones, Mike; Hubsch, Jeremy; Reeves, Derek; Graham, Shirley
Subject: CO inspection
Chris Lambertson of Elite Homes is requesting his CO inspection for 860 Paradise Lane, Permit# 13-3417. Please
respond to Shirley and Jenny. Chris number is 349-2803.
Thank you,
jevk,vu� WOIL19,er
Administrative Assistant
Building Department
City of Atlantic Beach
904-247-5826
02.Turner
1,", mTest
Control
What's Bugging You?
CERTIFICATE OF COMPLIANCE
FOR TERMITE PROTECTION
INFORMATION REQUIRED AS PER FLORIDA BLDG CODES 104.2.6. & 1816.1
CONTRACTOR: Elite Homes
PERMIT#: 1300003412
SITE LOCATION: 860 Paradise Ln
Atlantic Beach, FIL 32233-6956
DATE OF TREATMENT: 07/14/2014 TIME OF TREATMENT: 01:10:00PM
AREA TREATED: SQUARE FOOTAGE: LINEAR FOOT:
IDENTITY OF APPLICATOR: CLARK,RASHAWN
PRODUCT NAME: PREMISE PRO.1%
CHEMICAL NAME: IMIDACLOPRID
(DIFFERENT FROM PRODUCT)
(FOR BAIT SYSTEMS-LIST CHEMICAL NAME THAT WILL BE USED IF TERMITES ARE DETECTED)
PERCENT CONCENTRATION: 0.10%
(FOR BAIT SYSTEMS-IF YOU DON'T HAVE THE%=TELL HOW MANY STATIONS PER FOOT)
NUMBER OF GALLONS: 25.1 OGA
(FOR BAIT SYSTIVIS—ENTER#OF STATIONS USED)
FINAL STATEMENT:
THE BUILDING HAS RECEIVED A COMPLETE TREATMENT FOR THE PREVENTION OF SUBTERRANEAN
TERMITES. TREATMENT IS IN ACCORDANCE VVITH THE RULES AND LAWS ESTABLISHED BY THE
FLORIDA DEPARTMENT OF AGRIGULTURE AND CONSUMER SERVICES.
;I GRE
i E THAT THE ABOVE INFORMATION IS CORRECT AND REFERS TO THE ADDRESS LISTED ABOVE:
RD L B 17
CE TI�E C0_NTf4QLn2.ERA`I`bR
TUR C CNTROL,LLC.
MAIN OFFICE
480 EDGEWOOD AVENUE SOUTH
JACKSONVILLE, FL 32205
PHONE:904-355-5300
FAX: 904-353-1488
Turner
If you demand THE BEST,
mm Pest
go with Turner Pest. jo-) Control
Congratulations on the purchase of your new home!
Florida Law requires that your home be pretreated for termites during constr-iction. Your builder selected
Turner Pest Control to treat your home for the prevention of termites.This treatment ensures that you
have complete termite protection for the first year you own your home It is important for new
homeowners to understand the coverage provided to avoid paying for protection that you already have
and it's important to have your initial inspection within 30 days!
What do you need to do? Your warranty requires an initial inspection'
• Schedule your initial inspection(paid for by the builder)within 30 days.
• The termite warranty will be transferred from the builder to you.
• We will explain the warranty coverage.
• Ask about special offers for pest control and lawn services for new homeowners.
Why did your builder choose Turner Pest Control?
• Turner Pest Control has a reputation for providing the best"est control protection,using
the most advanced products and treatments available.
• Turner doesn't charge homeowners a deductible for repair co-verage.
• Our warranty includes Formosan termites at no extra charge.
• You are protected from the first day you own your new hQmc.
• Turner is proud to maintain the highest rating possible from the Better Business Bureau.
• Turner Pest Control has been serving residents of Florida'and Georgia since 197 1.
Call (904)355-5300 to schedule your initial inspection and to learn more about your coverage. You can
also schedule your appointment online at TurnerPest.com.We offer exact appointment times.
Sincerely,
Mark Slater
CEO
Turner Pest Control
P.S.Your warranty requires an initial inspection and transfer from the builder within 30 days.
AV RP '404 Turner Pest Control
pestcantial [aAm-outdcors Commemill Bedhg5 leflriites
=Turner Jacksonville, Florida Main Office
P e s t 480 Edgewood Avenue, South-Jacksonville,Florida 32205-904-355-5300-904-353-1488(Facsimile)
It. M,,,s, Ga.—912-576-1300*Daytona Beach, Fla.—386-788-8303*Melbourne, Fla.—321-951-3325
FMControl Ocala, Fla. 352-351-4386*Port St. Lucie, Fla.—772-621-7905 0 Tampa, Fla.—813-681-6381 CZ9
TWAID W
What's Bugging You? Toll Free:800-225-5305 9 www.turnerpast.com
Pre-Construction Home Termite Servicing JA165,dreement
Property Owner's Name: Getsey, Jennifer sonable costs of repairs subject to the above limitation.Turner is responsi-
Covered Premises Address: 860 Parad'Ise Ln ble for repairs only if it has been given the opportunity to inspect the cov-
ered premises in the area requiring repair PRIOR TO THE START OF ANY
City,State,Zip Code:Atlantic Beach, FIL 32233-6956 REPAIRS. In the event that damage is discovered by parties other than
Turner,the owner agrees to notify Turner of such damage within 48 hours of
Billing Address(If different): discovery of such damage.
City,State,Zip Code: INITIAL INSPECTION: This Agreement calls for an Initial Inspection of the
Primary Telephone: Covered Premises upon transfer of the property from the Builder to the
Homeowner.All charges and fees for the Initial Inspection are included in the
Alternate Telephone: price of the pre-construction treatment, and are the responsibility of the
Type of Structure:Single FannjIv Residence Builder.
Detached Structures Included: NONE This Agreement contains all the terms and conditions of the Agreement and
no other representations of statements will be binding upon the parties. No
Warranty Start Date: 07/31/2014—_ alterations of or additions to this Agreement(other than information to fill in
the blanks) are effective or enforceable unless the alteration or addition is
Turner Pest Control, LLC (herein 'Turner' ) is authorized to provide the signed by a corporate officer of Turner.
treatment for the prevention and control of subterranean termites to the
Structure and Detached Structures listed at the above Covered Premises
Address (herein "Covered Premises") on behalf of the Property Owner's
Name(herein"Owner")listed above. Turner Representative-
INITIAL TREATMENT. This Agreement will become effective upon full pay- Date: 07/16/2014
ment for the Initial Pre-treatment by the Builder. Continuation of the termite
protection is subject to payment of the annual renewal fees by the Owner,or
Builder if unsold after twelve months after the initial pre-construction treat-
ment,and general terms and conditions on the reverse side hereof.
ANNUAL RENEWAL FEE: This Agreement is renewable from
year-to-year, upon re-inspection of the covered promises by
Turner and upon payment of the annual renewal fee of
$2SJQD_ due and payable in full on or before the
Renewal Date of the Agreement. The Renewal Date is
defined as each one year anniversary starting with the
"Warranty Start Date."
Turner reserves the rightto adjustthe annual renewalfee as
of the second (2nd) renewal year, or any year thereafter.
Following expiration Of the 4 year renewal, Turner
reserves the right to require the covered premises to be
completely retreated, at a rate to be determined by Turner,
subject to Turner and owner entering into a new termite
service agreement.
COVERAGE: This Agreement provides for the re-t(eatment and repairs for
damage to the Covered Premises limited to an aggregate of
$ . For as long as this Agreement remains in effect,Turner
will perform any further re-treatment it finds necessary,free of charge,sub-
ject to the terms and conditions of this Agreement
REPAIRS: If subterranean termite damage occurs to the Covered Premises [&DLj5C90yVER' E
while this Agreement is in effect,then Turner will be responsible for the rea- MasterCard
Reorder Form No 6035
Rush To Exaflence Prinhng.904-367-0 100
Pre-Construction Home Termite Servicing Agreement
General Terms and Warranty Conditions
1)This Agreement provides for Turner to perform an initial pre-con- minimum of four inches above the outside grade level.This may
struction treatment and any subsequent treatments as deemed also include the removal of floor covering material such as wood,
necessary by Turner to the structure if a live infestation of the marble,ceramic tile,vinyl or any other floor covering placed over
specified subterranean termites is found in the structure during the concrete slab floors.This may also include the removal of
the effective period of the Agreement. Turner will make such planter boxes,cabinets,bathtub enclosures,or other obstacles to
repairs as necessary to correct damage with infestation subject to allow Turner to gain access to the area requiring treatment.The
the following conditions: customer agrees to oay all expenses to make all non-accessible
•Damage was caused by specified subterranean termites areas accessible for treatment and/or inspection as deemed nec-
• Turner personnel verifies the evidence before it is altered or essary by Turner.
destroyed. 4)The Owner agrees to notify Turner of any additions and/or alter-
ations to the Covered Premises.This may require the Owner to
•All repair work will be performed or supervised by Turner per- pay for additional treatment,service charge and/or adjustment to
sonnel only unless otherwise agreed in writing by both parties. the renewal fee. Failure to notify Turner will terminate this
• If damage is discovered to be a result of conditions other than Agreement automatically as of the date the structural change(s)
subterranean termites or when conducive conditions have con- is made.
tributed to the presence of subterranean termites, the cus- 5) In the event the property is sold, Turner will transfer the
tomer agrees to accept responsibility in such cases for the cost Agreement to the New Owner.The Agreement is assignable at
of repairs. the sole discretion of Turner.
•Turner will repair only the specified areas damaged by the sub- 6) In the event of non-payment of the Initial Treatment, renewal fees,
terranean termites according to the conditions stated herein. cost of repairs performed by Turner caused by conducive condi-
Turner is not responsible for costs incurred to match existing tions contributing to infestation, or any other fees due to Turner
wall coverings,floor coverings,moldings,paneling,tile or other under this Agreement, Turner has the right to terminate this
cosmetic work. Agreement effective the due date of the unpaid fees.
2)This Agreement does not cover, and Turner will not be responsi- 7) In the event of a change in the existing law as it relates to this
ble for re-treatment or repairs to any of the following: Agreement,Turner reserves the right to adjust the Renewal Fee,
•Wood decks, wood steps, wood fences, wooden walk-ways, or amend the terms of this Agreement and/or terminate this
other wooden structures outside the foundation perimeter of Agreement.The State listed in Service Address controls opera-
the covered premises, or any area(s) of the structure where tion of this Agreement.
wood members are in direct contact with the ground. 8) Any claim or compla�nt of dissatisfaction under the terms of this
•Area(s) where stucco, coquina, Styrofoarn and any other mate- Agreement must be made in writing to Turner.Turner is only obli-
rial is applied in a manner conducive to infestation or is in gated to perform under this Agreement provided the customer
direct contact with the ground. allows Turner access to the structure for any purposes contem-
• Area(s) where moisture conditions conducive to infestation plated by this Agreement, including but not limited to re-inspec-
exist,such as but not limited to faulty plumbing, roof leaks,ele- tion, whether the inspection was requested by the Owner or
vations above slab levels such as planter boxes or any other deemed necessary Lv Turner.
conditions that supply water to termites allowing them to sur- 9) The Owner and Tt ner agree that any controversy or claim
vive above ground. between them arisinu out of,or relating to,the interpretation, per-
•Infestations resulting from moisture conditions including but not formance,or breach of any provisions of this agreement,shall be
limited to fungus. settled exclusively by arbitration administered by the American
•Damage to plants, trees, flowers, and/or shrubs adjacent to the Arbitration Association, under its commercial arbitration rules,
structure. and judgement on the award rendered by the arbitrator(s)may be
entered into any court having jurisdiction.In no event shall either
• Personal expenses including but not limited to lodging, meals, party be liable to the other for indirect, special, or consequential
transportation, loss of use incurred as a result of treatment, damages or loss of anticipated profits.
and/or re-treatment, or damages therein,
•Any other indirect expenses or consequential damages relating
to the existence of termites or termite damage.
• Areas where Turner has documented conditions conducive to
infestation that have not been corrected in a timely manner by
the customer.
• Damages or losses caused by war, fire, earthquake, floods, or
other causes beyond the control of Turner.
3) Customer warrants full cooperation with Turner during the
Agreement period and any renewal period and agrees to maintain
the structure free from any factors or conditions contributing to re-
infestation by specified termites. It is the customer's responsibili-
ly to correct any conditions that may inhibit proper inspection V2Turner
and/or treatment deemed necessary by Turner.This may include R"I". P e s t
removal of stucco,coquina or other exterior siding materials to a EAlControl
What's Bugging You?
OMB Approval No.2502-0525
Subterranean Termite Protection Builder's Guarantee (exp.04J30/2015)
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\AAII use the information collected.
The information is not considered confidential,theiefore 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.
FHAA/A Case No
Location of Structure(s)(StreetAddress,or Legal Description.City,State and Zip).860 Paradise Ln
At[a ic;Beach_FL 32233-6956
Buyer's Name: Getseyjennifer
Builder is to check and complete either box 1 or box 2
1 X 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 subterranc n 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.
Type of Service: Termite Bait System El Field Applied Wood Treatment
Lnj Soil Treatment El Installed Physical Barrier Systemj
2 7 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 p,essure 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:N MA-99-B
Builder's Company Name� Elite Homes Phone No: 904-2417�-
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 Periodicmainte
nance should include measures to minimize possibilities 0!infestation�n and around a structure Factors which may lead to infestation from wood destroying insects includefoam
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!o reduce the
chances of infestations by wood destroying insects,ano the need for treatment
An original and one copy of this guarantee are to be prepared by the builder and sert to the lender The lender provides one copy to the buyer at closing and includes a copy in the
VA loan package or H LID 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.04130/2015)
This form is completed by the licensed Pest Control Company
PublFc rep-0-rtingburden for this collection of information is estimated to average 15 minutes per response,including the time for reviewing insfr-uchons,
searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information.This information
iis 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'hat the builder guarantees the treated area
against infestation for one year.Builders,pest control companies,mortgage lenders,homebuyers,and HUI)as a record of treatment for specific homes will
use the information collected.The information is not considered confidential,therefore,no assurance of conlAentiality is provided.
This report is submitted for informational purposes to the builder on proposed(new)construction cases wher.i 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: Turner Pest Cgntrol LLQ
Company Address 480 South Edgpwood Avenue _City Jacksonville —State FL zin 32205
Company Business License No. JQ 112358 Company Phone No. 904-355-55QO
FHAIVA Case No.(if any)
Section 2:Builder Information
Company Name.Elite Homes Phone No. 904-241-5251
Section 3:Property Information
Location of Structure(s)Treated(Street Address or Legal Description,City,State and Zip) 860 Paradise Ln,Atlantic Beach, FL 32233-6956
Section 4:Service Information
Date(s)of Service(s) 07/14/2014. 11/01/2013
7-1 Slab Basement
Type of Construction(More than one box may be checked) 1^1 Crawl [—] Other
Check all that apply:
FX—] A.Soil Applied Liquid Termiticide
Brand Name of Termiticide:FHEMISE PRO J% EPA Registration No. 432-1449
Approx.Dilution(%): 0.10% Approx.Total Gallons Mix Applied: 25.1 OGA Treatment completed on exterior:r—vl Yes No
B Wood Applied Liquid Termiticide lJ^—j
Brand Name of Termiticide: EPA Registration No.
Approx.Dilution(%):—Approx.Total Gallons Mix Applied:
C.Bait system installed
Name of System EPA Registration No.—Number of Stations installed_
D.Physical Barrier System Installed
Name of System Attach installation information(required)
Service Agreement Available?FX� Yes F No
Note:Some state laws require service agreements to be issued.This form does not preempt state law.
Attachments(List) Pre-Construction Home Termite Servicing Agreement
Comments
Name ofApplicator(s) CLARK, RASH&WN Certification No.(ifr6quired by State law) JB112358
The applicator has used a product in accordance with the prod��l and state requirements.All materials a6d methods used comply with state and federal
regulations,
Authorized Signature Date
.07/16/2014
Warning:HUD will prosecute 9false aims and sttatemen .Conviction may result in criminal and/or civil penalties,(18 U.&C,1001.1010.1012;31 U.S.C.3729,3802)
form HUD-NPMA-99-B(08/2008)