177 Ocean Gate Dr termite treatment =Turner
!T!^M Pest
M Control
TERMITE CERTIFICATE
INFORMATION REQUIRED AS PER FLORIDA BUILDING CODES 104.2.6&1816.1
CONTRACTOR: Habitat for Humanity
797 Mayport Rd
Atlantic Beach FL 32233
SITE LOCATION: Quad R
177 Oceangate Dr
Atlantic Beach FL 32233
PERMIT b: 15-SFAT-2844
DATE OF TREATMENT: 06/10/2016 10/26/2016
AREATREATED: 86 Linear 6000 Squarefoot
IDENTITY OF APPLICATOR: Shawn SVhela JF 126721 Rashawn Clark JE 218783
PRODUCT NAME: Premise Pro Bora-care
CHEMICAL NAME: Imidacloprid Disodium Octaborate Tetrahydrate
(DBFERENT FROM FROMM
(FOR BPR SYSTEMS LIST CHEMICAL NAME THAT WILL BE USED IF TERMITE ARE DETECTED)
PRECENT CONCENTRATION: 0.10 0.23
IFOR BATT SYSTEMS IF YOU DONT HAVE WE FL+TELL NOW MANY STATp3NS PER FOOD
NUMBER OF GALLONS: 17 Gallons 4.4 Gallons
(FOR BAR STATIONS-ENTER R OF STATIONS USED)
FINAL STATEMENT:
THE BUILDING HAS RECEIVED A COMPLETE TREATMENT FOR THE PREVENTION OF SUBTERRANEAN TERMmS.TREATMENT IS IN ACCORDANCE
WITH THE RULES AND LAWS ESTABLISHED BY THE STATE OF FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. IAGREE
THAT WE ABOVE INFORMATION IS CORRECT AND REFERS TO THE ADDRESS LISTED ABOVE.
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TURNER OL UX
ADCWSW Y,SUIT
MORD BAYMEADONS WAY,SURE 33
IACNSONVILLE,FL 33356900-355-5300
Subterranean Termite Protection Builder's Guarantee CMB Approval No.2592-0525
This fol-mi is completed by the builder. (am.05/302018)
Pubkc rem ting WN9n ler 815 collection of Information is estmaled to average 5 minule5 per Ieapmw,Inducting She err for reviewing Instructions,seardtip
existing data sources,gathering and maintaining Ilse data needed,and competing and reviewing She collection of Information.This Infomlatkyn is required m
obtain benefits.HUD may,not collect this inlomletion,and you are not required to complete this form,unless it displays a wink ndy valid OMB control number.
section 24 CFR 299.928d(b)(3)requires that the sites for HUD Insured son chums must be hes of termite hazards.This Inlommallm collection requires a
licensed Pest Const company to proAde tib builder a record of specific treamlent information In those cases when It any method Other than use of pressure
traded lumber is used for prevention of subterranean Wnnite Infestation.When applicable,form HUDdNPMI must accompany the form HUD-NPMA-99-A.
Officers.peal control companies,mortgage lenders,homebuyers,and HUD As a record of IreeMent for specific homes will use the information collected.
The information 5 not ocr steered conhtlenlial,therebre no assonance of confidentiality is provided.
Tons fern Is abided ler"Issed(new)croswcwn on.wbm praveabn d sublwares,term le Infestations specified y ma bWNx or no shed by IM eller,the
,rdaecb FHA or VA
This ppm 5 to a completed by the Wider.This Drummers is blued by ted ousts,m IM W yar.This guaano,e Is not to be considered as a waiver of,or N pence of,any legal rims
or assesses set ate baso may nme soma We lobster.
FH4N cifushle,
kpwbndsmdnal.)(steaam�.nL.aalDe,abmk D*A SMeMd ap). 177 Oceangate Dr
Atlantic Beach FL 32233
Byer,Name.
BJberatd�Neck and compete eilher bon 1 on Wal
T1�n � Coned Dumber,Applied Treatment(Se,HUMPMA 93B ler twinned Flwmulon)
The undemigrcs miller hereby ceNries that a Stale llrensed or oXemise wtllpd7ed peal coned company(others mpuired by Seto taw)was mNratlad b treat Me
propes,a air location remrence0 sI to prevem b,,bbbua.mores.The Wider former cents.that the comrad with the peal mntrd company required tib
Ireehned materials and memos used to be N cmlmnarae we,as applicable slab and Feems repiremenis.Alt wow requires ytlb conUsd has been completed
miss,Med on HUDNPMA See.Where not pronMdad by appYrtlae Suite regWlananm,led II ler an additional lee payable to the pest Wnaol company,in,
extew IM pomw agahm suMemrran Wines,Conbp tr pall rnbd corrbanY 61ed m me OMxMrnl la roller Nlmrelon
TM bu9derherebY guerenlees ina.11 wntxremar Ixmae Nlesmlhn NWd OCCarwYlin ore lien Imre IM dela d dw.r,,tie aaaerwa anaure cox a tcareedon
olnenv'x Bmle aueroritw pest coneral company coil Veal as necessary or caned Infestations In the sanctions.Tins mMer beumforb cow W wiIMW coal m me buyer
11 cemrmed by Stab leer,IM Wyer nay eontrxt sibicuy,a the buyer's expense.Min a pest mmtd company or inspect the poperty on a periodic bees amore
9PAregflered Pmducs to comd"WestaWn.The Winer will not M reaponante mr,brantessng,ucn coMmdsd conk.TM WYex hnlrar ogees b raper alt
damage by¢ublxrenean IenNles wimp the me-year Widens wartaMY Pxdd.Tn's BuaraMee tloes nql apply m eedrWm or elMmlba WI are maga by the Wyar.
wnkh aXects Na original slreduremVeatrrrnt.ExarrPles irhdude,W ere cot ailed b,leWsapa
OW ninon alxaMns,w eNmre the headed aro all ones
neo¢ emamon Iermte hei nIhimere wire IM coned measures.11 within me guaranW perkd to bumer questions the vabdty d a dam by the bye,the
claim WI W knres"sol by an mm sed expen rMslly agreeable Io the buyer a5/bonder.The repot of the snow coni M amsple l as xs bas non disposibm of
IM ase.The non evaag Ian,WI pay theme)d any InspeNam made b hvesh,le IM dose.For furter Wmndlm,conico yaw Slue sa,Wral peal consul
insulator,Allen,All service must W In eanpYar,e with one Imernmeel ReaGWel Clue, req
Temi
Ybeo(Ste:: 0 TermiteBaa Snoun ✓ wAdWWood TreWisedment ✓ SThrobbing lrrsuWPhyacoleamer Synam
2.I5euider Installed Sublem.Terms,Preventim Ines,Posonse Treated Iamser
The Wider cwikes that subo,nmem honrha mment on was Na/led using pressure Veath lumber only and exons them free of the pressure tooled lumber e in
conpliana wile applicants ntnmag meas and HUD requ neem s inctudng Mmgagee Letter 2091-01,Note:Using pressure beef"safe as a won met hada
Ism alto min enlmn N NOT acceptable and violates to rpulrxrrnle d MMgspee User MlLa.
11,16.1 of Sirius, bass
AtmNmans.
BnAdNs Dmmy limn: Plane No:
arouns,Sessions, Data. 10/31/2016
Consumer MelnWama Advexy roaring Integrated Pest htanagltrnrent mr PrewrXbn of Woed 0esho irnti morels.Information regarding prHantion of wad de trait
insect Infestation is Wipml b any property caner"I mstw In ProlacM,the suucmre fan MlMtabm Any stmctse own be ata hed by wood desao,e,hsttls.Pabdic manta
norm aWrae hte4rdameaaves m nirrimm pmadliliea of in!ezNYdn N a5/xouW a tauplwe Fectma whiN mal lad m idesbMn tram wapOOeshoNtg Feeds irdutle Imre
krulatim al simile",aedRwaed W.Not,grade.Poewood agamt'hods,,IneaMew vwtiNWn,mdNae.wade come in cowl Neste,wood mulch.Vee balls
muNirp amaurex eWacape timbers.en0 wood rd.SMu10 Nass onoNer suds msiixs ansate mmectrve measure arfrm W stew y the sax h alder b reduce ore
Naraas of misnsors by wood destroying Imxlf.ON the raw a"Siemens
An prowl and me copy of the guarantee are to M prepared by the W Mx mtl sent b the WMer TM knee,pmwees me copy to the bry at dosing am houses a cop,ren Or
VA ban pec age or HUD hsuance ase binder The bolder eeWsona copy b the ficensw pest mnUd company eMN Wormed IM eeemrnm.
Albdred IS a copy d the also,sulMnaw peel coned anpan,a Naw ConSmIcObn S 5/r ammn Ternas Saws Retard.HUIHNPWA-0 B.
sy me, HUD will proseaee false clams a5/statements CmvlcWn may mouth in nbniat and/or ave penalties (18U S.C.1001.1010,1912:31 U.S.C.3729.3902)
Mm HUOaMYAA9A(Br2l10BI