193 Ocean Gate Dr termite treatment =Turner
M. 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 S
%3 Oceangate Orr
Atlantic Beach FL 32233
PERMIT n: 15-SFAT-2538
DATE OF TREATMENT: 06/10/2016 11/09/2016
AREATREATED: 96 Linear 6000 Squarefoot
IDENTITY OF APPLICATOR: Shawn SVehla JF 126721
PRODUCT NAME: Premise Pro Bora-care
CHEMICAL NAME: Imidacloprid Disodium Octaborate Tetrahydrate
(DIFFERENTFROM PRODUCT)
IFOR BAIT SYSTEMS LIST CHEMICAL NAME THAT WILL MUSED IF TERMITE ME DETECTED)
PRECENT CONCENTRATION: .10 0.23
(FOR 8A75YSTEMS IF VDU DONT HAVE THE 5--TELL HOW MANY STATIONS PER FOUTI
NUMBER OF GALLONS: 20 Gallons 4.45 Gallons
(FOR BAIT STATIONS-ENTER B OF STATIONS USEDI
FINAL STATEMENT:
THE BUILDING HAS RECEIVED A COMPLETE TREATMENT FOR THE PREVENTION OF SUBTERRANEAN TERMITES,TREATMENT IS IN ACCORDANCE
WITH THE RULES AND LAWS ESTABLAHED By THE STATE OF FLORIDA DEPARTMENT OF AGIRCULTURE AND CONSUMER SEXAMS. AGREE
THAT ME ABOVE INFORMATION ISCORRECT AND REFERS TO THE ADDRESS LISTED ABOVE.
x
TURNER PEST CONTRDL LLC
BROD BAYMEADOWS WAY,SUITE 12
JACKSONVILLE,FL 3225691 L355 S300
Subterranean Termite Protection Builder's Guarantee OMB Approval No.2502-0526
This form is completed by the builder. (exp.0513112018)
Public repd9ng Widen for Mw collection of Information is estimated to average 5 minutes per response,Including she groin for reviewing instructions,searching
existing data s0umes,gathering and maintaining Ne data needed,and completing and reviewing the collection of Information.This Inlgmlallon is required to
obtain be RW.HUD may not collect this Information,and you are not repured to complete this form,unless R displays a currently valid OMB control number.
Section 24 CFR 200.92W(b)(3)mourns that the sites for HUD Insured sUudures must be Mee of smile ha nerds.lids Inflammation collection requires a
licensed Pest Control company to provide the budder a record of specific eealment bfarmation In those cases when it any method o her Man use of presewe
treated lumber is used for Reinsertion of Subterranean termite Infestation.When applicable,form HUD.NPMA-99-B must 2000mpany the fowl HUD-NPMA-99-A
Builders,past control companies,mortgage lenders,homebuyers,and HUD as a record of Ireabmenl for specific homes wilt use the bfomlwdon collected.
The afomwlidn is not cosideretl c nfidential,Chambre no assuance of confidentiality is provked.
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amMwl,FHAw VA
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or renm0es Met the fosse,may have against Ne doper.
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Atlantic Beach FL 32233
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dom,awmn weh wparade baling codes and HUD requirements tra n,histpose LOW 2 10o.Noe:UNng pmawa bawd sale NO a Rose mamoda
leme a Pwvadlan NO NOT acceptable ate vbwlea Me rpulremedv AT Mon,ease later MIN.
ilifi.T.ralw� DOW
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Barna cwnmr Name: 1 �rI'1. PMm hb: 3W— J26 Z
Essayya yliayons Dew: 11/10/2016
Comumn Mdrtsence Ads"raeardlna Wagralae Past Manaeamani for PmeMbn of wood Clothesline lemsels.lMomellan moming amsNon of small dealm es,
ins!,Westalan H helpful b arty ptpeHy caner id.rested h ptlM'vg Ve swcture Iron Idesahm MY slredwa can be dlxaed tri wop0 Oshgke hlwds.Pwbbk meWe
mance shwb4ailaneasaeabmWmge pmdbaaea al Mfestaron band amm�,eNvlue Fedora whkA may lead binksa5m hen woad OSWylrg soils FUWafmm
bswalkn al sxasl kat Mori mem,NURY wads.Rewaad against wAst",inwgoml vanhwNm,mos irs.wood dense in wthwl space.wand Mkh,bee Crsahes
I xhM mictsai.la'tOmpe Imams.and woad rd.ShoWd Mex w other asst mnbabns exist mmedive Release shmid W when by Ma oaner in order No reduceMe
chows of inmewho ,by woo,desunesse hweb.ate Me neem for Raiment
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VA ion Renege or HUD In.cox brad The butler sells one ropy b the beamed peal maul mmpanY"Ich xmamed the moment,
AlwWed Is a copy OF the dee authpmW pest sMMA mmpmry s New Cpnebudbn SOOmmew TemNe Service Record,HUDN%M 11
Wamig.HUD W woseeWe idea Balms And statements CmvkOcn may rewth in isimkwl and a mnalks (15 U S.C.1001.1010,1012:21 U.S.a 3329.35021
lam HUDNPY A(52006)