185 Ocean Gate Dr termite treatment ®Turner
Pest
E"A 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
165 Ocean" Dr
Atlantic Beach FL 32233
PERMIT#: 15-SFAT-2846
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 PROW R)
(FOR BAR SYSTEMS LIST CHEMICAL NAME THAT WILL BE USED IF TERMITE ARE DETECRO)
PRECENT CONCENTRATION: 0.10 0.23
(FOR BAR SYSTEMS IF YOU DON'T HAVE THE�TELL HOW MANY STATIONS PER FOOT(
NUMBER OF GALLONS: 17 Gallons 4.4 Gallons
(FOR BAR STATIONS-ENTER B OF STATIONS USED)
FINAL STATEMENT:
THE BUILDING HAS RECEIVED A COMPLETE TREATMENT FOR THE PREVENTION OF SUBTERRANEAN TERMITES.TREATMENT 151N ACCORDANCE
W OHTHE RUM AND LAWS ESTABLISHED BY THE STATE OF FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. I AGREE
WAY WE ABOVE INFORMATION 15 CORREa AND REFERS TO THE ADDRESS LISTED ABOVE,
X 511
Au
TURNER PEST CONTROL LLC
BAOO BAYMEADOWS WAY,SUITE 12
lACRSONVILLE,FL 32256804355-53M
Subterranean Termite Protection Builder's Guarantee OMB Approval No.2502.0525
This loan is completed by the builder. (elm.0513N2 rle)
Pubic reporting burden for this mlmdlom or Information is a ulmaled to average 5 minutes per response,Inputting Ore time for reviewing Instructions,searchkV
existing data sources,gathering and maintaining Ne data needed.and completing and reviewing the collodion of Information.Thla information is required to
obtain berelis.HUD may not collect this information.and you are not required to completeIbis form,unless g displays a currently valid DMB mnlml number.
Section 20 CFR 200.92W(b)(3)rMMm$Nal the sites far HUD insured structures most be Nee of wrmile haiards.Thus information cdmclan requires a
loaned Pest Contrel coppery to Waves Me,builder a record of specific treatment Information in Mase cases when g any method other Nan use of Area Ouse
Heated lumber is used for pre non lon of subterranean termite Infestation.When applicable,lane HUD0.NPMA-Wlf must accompany the form HUD-NPMAA&A
Builders,pest control companies,mortgage lenders,homebuyers,and HUD es a record of treatment for specific homes will use Na information collet ed.
The informal is not considered confidential.there.no assurance of wnfitlemislity Is provided.
TN.kym N aWNthed for prapmed(.I consWtlion rams when prevention of sumer men term le Nledaeon is speci by the bullieco required by IN,teller,the
artrilest.FHA or VA
This Ism,h la becanplelN by do,tumor.Too guaanlre is aimed by 1%briber b the Wwr.This{Moonie.6 not 1.be conaklied as a waiver al,ar h pace of,any lacier rps
or mo edicts and We dryer may,haw against Ina tosser,
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Atlantic Beach FL 32233
Buyers Name
sold is to tlleck atm oprom.either W.1 or Ws 2.
1{�/ 1'ast Cmbd Company Applied Tnalmenl(Sea HUDAPMA M ft,oealnem Information)I� rThe undersigned bui hereby carefias lost a Sate licensed or otlwwnse auNaised pest coned company(,nem mureci by Stele law)xeo wooded to heal Me
P'apeny al the bmlbn mWoMm l above fo powee d sumponew m1RJees.The Wider fuller cenifes May de conLa t dN the post banal company requind We
lrealmene mWoms and megeds uxd b be hanrwmarce wird as applicable Sub aril Faunal meqummene.M earn moved W eco conimoi baa been consomme
.Meas.10ori HUD-NPMA 998.VWns.ml PMided by applicable Sok eWaeena,the dryer,for an adtlnbnel lu ie,Us bila pail comol con merry,may
exleM IM protection apanst subamman kmtlM.Consort this,cosi cm4d company idol an the women eel la Holler,hbdmaton
The bulbar hereby WarenYas my.M xEtaranaan Whoa blksatbn sfbud occur ssMM1In one year hon the dem at dmvq,WO broader wi wmm Nat a licemed or
chemise Sea authadmd base control company coal bbl as remvery bconbal Inosalbre In Ne structure.This fuder beelment this be ioencul cost w Who,Wwr.
It pamIned by Sao kw,the coyer may cpntW directly,a No,buyer',eapanx,wMh a pest dWml company to aspect the popery,m a mrodb bass atm case
EPA m9stioed pmdpis 10 wnbd any IMesaaorm.The hNda Ma me be restaurants for guoranke0g 5"mlacad oark.The Witter hater agrees b vapor ah
damage by witsioramem mrmims withh els ane-year builder's warranty period.This gvamnlee does nal Bony b addmom or allsralmns tlal are mode by ba Wwr,
whkh agent•the anyone brudure orbealment.Examples ncdbe,WI an m1 bonned N,aMsmx amu mukh alterations,eilcN distant,the Imaud area AM oeaee
new Hnlemrsean Lamle havions,or interim wird We coNd mneawres.If vethh IM gYs enlea period IN,dower gmoNbns We obwty of s Gam by We low,IM
closer set be brveaEpamd by an uMbsed eapM muaally ppmeable to IM Wye ami Wider.TM mpg of No expel we be accepted as Was base for dlsomasn of
Ne me.The rarpevalling party woof pay the cast d airy Ir spechons made to hwslipte,the cis".For Worse Wmreeon,consul your Sam sbucluil post band
"Webby agency,All sand.must be m..,No.sdth tlm Namatioral Real doMlel Cada.
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2.`IBWhr Ins Submrmesan TemNm Pro edbn mine Prmsure Trebled lumber
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conoMnm with Nlplicade buwng codes atm HUD mqubemena Including MonOapee Leder 2001U1.Nie:using pmssuo"Weal sills os a role maned of
monde prevention a NOT acmpable and isles.Mos re slremend or uwmga9m Lena,2001Le.
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insect hfosalonohdpful banypromny carerInterested In IudecNg Ve sWdure IconInbaban Anyabscise mmbeslaked bYe d.$VOyhgM .PeMdb.OW
rare should imbue measures to minimae poebbloss of ior"whar,h ad amuM a sbuctue Factors"Itch my ked to hNasathon hon wood de WOW beech,Mate foam
Insuiaion or duMara,eamerwacd coned,faun,Fade,Iwwaed against sirup.,Imogonom Wnwaw.massae.wood debris In pawl space,egad nmuM,bee bmwNea
torching dnmdmaes,landscape embers,atm emc!cod.Shaw tram a army sudor mdgkm eabt,Corrections emissions should be Olsen by IN~w In order m mdcm Ne
chances d n(esafiens by eWd doslroy"imecs.atm tle need W bealmenl
An sdgbmel and one copy of Into guarantee are to be eased by done W der and sent m Ne order The rondo pavdes one baby,to the buyer at dining atm ecludea a copy in the
VA ban padma9e or HUD Insurance case birder The bolder sells ore copy b the licensed pest oared wrmanynMkh personnel IM"Mention.
Amo ed is a co,,d Ne sats eugeraed pest mond mmmgany a New Comm,clbn Subarrem m Teams,Samba Racod,HUDIJPIM-996.
Loaning.HID ova Irmeem,(also dams atm sa ema s Comifion may m iull'n amoral arrow crvW bananas (10 U S.C.1001.1010,1012 31 U.S.C.3]29.3102)
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