181 Ocean Gate Dr termite treatment K2Turner
!771 Pest
Q 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
181 Oceangate Dr
Atlantic Beach FL 32233
PERMIT s: 15-SFAT-2845
DATE OF TREATMENT: 06/10/2016 10/26/2016
AREA TREATED: 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
(DIFFERENT FROM PRODUCT)
(FOR 04R SYSTEMS UST CHEMICAL NAME THAT WILL BE USED IF TERMITE ARE DETECTED)
PRECENT CONCENTRATION: 0.10 0.23
(FOR BAR SYSTEMS IF YOU DON'T HAVE WE S TEU-HOW MANY STATIONS PER FOOT)
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 TERMITES.TREATMENT 151N ACCORDANCE
WREI WE RULES AND UWS ESTABLISHED BY THE STATE OF FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. I AGREE
THAT WE ABOVE INFORMATION 15 CORRECT AND REFERS TO THE ADDRESS USTED ABOVE.
X
TURNER PEST CONTROL LLC
GADO BAYMFADOWS WAY,SUITE 12
MCRSONVILLE,FL 32256904-355-5300
Subterranean Termite Protection Builder's Guarantee DRIB Approval No,2502.0525
This form is completed by the builder. (ea.05302016)
Pubic reporting burden for this collection of Information Is andmaled to average 5 minutes per response,including the time for mvieMng mstrudiors,seamemmg
existing data sources,gathering and maintaining the data needed.and comple ing and reviealng die collection of Information.This information Is required to
obtain benelds.HUD may not collect INS Information,and you are not requmed to complete this form,unless a displays a cunenlly valid DMB control number.
Section 20 CFR 200.926d(b)(3)magams that the slims for HUD Insured structures must be Ime of Wmmile ha2nrds.This Inlamalion collection requires a
licensed Pest Control company W provide Ne builder a record of Specific treatment Information In Unt se rases when If any method other than use of pressure
treaded lumber is used for prevention of subterurWan termite Infestation.When applicable,form HUD.NPMA-99-6 must accompany the form HUD-NPMA-WA.
Builders,pest control canpanles,rrbrtgage tenders,homebuyers,and HUD as a record of beaement for spedfic homes will Use any information aolleded.
The Infomatlon Is not calsdered confidential,Iherebre no assurance of cor,ndentialily Is pwded.
TMs farm W wbmmed Its proposed inMaxa Dxxl mass when pmvehhn Or SUMemanean Anna edesmdw is sped0ed by are baser or reputed by IM Mader,that,
emheetl,RAN as W.
This(dm Is W M omhowe l by the Wool This gumantae Is slanted by int balder b IM W sere That pwamee t not b be comidmed as a waiver d,u in place or,,any MON,ghO
w remedea Van that dryer may ase egmmal We Winer.
FW Caw No.:
Room d6wauaa),avedAme,a,wL. WD.S*bP CIr,.�"zpf 181 Oceangate Dr
Atlantic Beach FL 32233
BuymsName
Sund�er�Is W dad and complet either Wa 1 pr W x 2.
1.I / froze Cohn!Company Applied Treelmenl(Sea HUDNPMA Sam 1p treatment 6mlamellon)
le IThe undersigned bider hereby ceNf that a Slate li sed or olmnyme auamdzed peal ronbd mnpany(w Wowed by State law)wax committed to heel the
onowry at ab axamaM mb2nced male b"ant nownrarmar INmlles.The Wader karNwH ceNrm81hat as anlvad Mlh Ne man Cgad onmany ass hed Me
mea4nrl mantas and melrods used W W an oenlamance wllh allappfialbis Slab and Federal requi.O,adv repuM by Ne mntrd has been oxhowal
Wants Mrd on HUDNPMA 998.Where not p ormard by appacable State mmasament.IM wp%br an ad ismal We pa,ade Io the peal cord corm ny may
am"as poledbn epraiM sudenasan Maas.Canted the peal unW company riled W the atlacyhMt Io-IUMer nlonraam
The Wader he,tly W mann test,a wownranean lama ansamw shad omr vshn IXa year 1.am dole orf Desno.the balder ova emure that a sca n ase ar
omemte SOW matadoed past comel consent,coal Veal asn essary,b pnmd lnbNalion In Ina shWum,This lwtlar treatment cote be MftA cost fo the Wye,
a pemse l by SOW tat,that O ym may contract drfdy,M the OnanS expense,are,a peal ormol comanny W rrspM as Mostly w a pe,Mic alms and cam
EPA mosalmed MoMcts W wnebl mr,Inhalation.The Wada are not b naponaide for guarenbarg wan wrmmcmd wdm.The Wader Naar mama b repair sP
dame,by mwemanmm laments wdmn int one-year Widm'a vernally pend.Thal gumanWe does halt appy b additions or alMdbrn Nat are made by Na buyer,
aTbtr aeras We ohglnal Mosae m Users .Examples m,t*6a.WI am not orated b.OMsrape and mud,allerahns,wiadl disdN IIs Imaed area and Seale
hew ateassean terms Iwards,or InlmMa with IM cmtrd measums.11 w the 9uaandee pemd Na fodder quemW'rs Ve MWIIy d a dash by da taWr,the
Man Hl be ann stgawo by an uMlaseb eaW mutually nameable to IM Wye,and,balder.The repIXl of IM expert win W Gots need as Ne bas ror dispoalgn of
Ne use.TM wrvpmvdarg IamtY coal pay Nemst d enY IMpetlions made b nnamada IM W'm.Fm luarm nlIXmallon,conWtl you,Sale dmdurel peal comber
repallory eVenry.All aeMoe muatMln cwnp4Mawah tla Memaumi BadtleMlel Code. �qy
TyneofServita:: Tenets Sam SraMm ✓ AppAatl Wand Tmament ✓ Shc Trulmmnl iJInalBaM Phyvul Serer SyaMn
Z.I�ISulderinNand SuOMmram TmmM PresenlMn usrg R®ace TmaW WnWr
TM biAfercerllfae Sal wbbrrmrean Mmes Ixavenam ales iraMIIN usag panusaeMN bxMmwy e,d caafez NN use d tri preswre veiled lemLers n
cdnplMnm with pamble butting codes aid HUD MtAverenW induarg Mprgepn Ld Mid .Not:Ushg W..mv treated arils es.cote methods
Inmate pnmmmW.M NOT ersaplable and vWWlas am requir menta d Maaiteilm,Us.,2001n
Indiamilhaidar Des,
aWdvrema:
mrradmh CmmarYName: U Pathe No:
euudera sgnaan. Dn: 10/31/2016
Cmma,M atatnannnre Advisors,m9mding slepmard PastMsnapmwWt Or Preverbn d Wood Ceebertrg Insects.Intpnlalbn te9m®n9 milafton Of wood deNroyep
Insect Westalm Is hApWl loan,su any comer Wheals]n isolating Ne sVudum Icon InbObon my snxwa ran W slashed by wood deNmyrg Nstt15.Periods,mart
,wove ahwd trWuda measves b rryvtpn,m pDaelpleles of lnleabaon n and emuM a slaclee Facbrs whiN mein Iniad b Intslaam Irmn wood desl,oying nsecW audude Imm
natation at Itarroalbn,nhlh.wood contact,lauly pWM,Ne seed against slMue,Imu6w1en1 vwaMaen,"have.wood deals in aawl spate,woad rmW,Vee brushes
lauohat,drwrves,WrWoWlimber,end wcod Ind.shoal Nese IX dhr 5u mndeMs exits,coratial measrre olwd W Omen by a ,wvner In order t mckse the
oesmvs d admesess by wood dedmwg Insects,am the need IIX ImaPmermt
M migral and oro cloy of NM pramm ea me 1.W prepared by the W der and sent to Ne Wher TM Orden parallel,one caps to LM buyers dodna ant ncsdes a copy In has
VA ban padaaa or HUD Inwrxxe case binder The baser sorbs ore copy to are IixnsM pent mntrd company which pmfornsd IM mea menL
atoned M a copy dine stat eunonaW pest mntrd ampanys New CpamrxAan Sublenmtemr Termaa Servie herd.HUDNPMN9
Wambg.HUDwO pmxNe telae tlNma and 6WlemermO Crnwdtipn cosy rewH n viniral armNIX pM parepin (ta U S.C.IW1.1010,1012:31 U.S.C.3)29.5002)
Iomr HU"MA-0 A(842008)