201 Ocean Gate Dr termite treatment Q . -
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Pest
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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
201 Oceangate Dr
Atlantic Beach FL 32233
PERMIT#: 15-SFAT-2540
DATE OF TREATMENT: 06/10/2016 11/09/2016
AREA TREATED: 96 Linear 6000 Squarefoot
IDENTITY OF APPLICATOR: Shawn SVehla JF 126721
PRODUCT NAME: Premise Pro Bora-care
CHEMICAL NAME: Imidacloprid Dlsodlum Octaborate Tetrahydrate
(DIFFERENT FROM PRODUCF)
IFOR BAD SYSTEMS UST CHEMICAL NAME THAT WILL BE USED IF TERMITE ARE DETECTED)
PRECENT CONCENTRATION: .10 0.23
(FORBAD SYSTEMS IF YOU CONT HAVE THE%=TELL HOW MANY STATIONS PER FOOT)
NUMBER OF GALLONS: 20 Gallons 4.45 Gallons
(FOR BAIT STATIONS-ENTER#OF STATIONS USED)
FINAL STATEMENT:
THE BUILDING HAS RECEIVED ACOMPLETE TREATMENT FOR THE PREVENTION OF SUBTERRANEAN TERMITES.TREATMENT IS IN ACCORDANCE
WITH THE RULES AND LAWS ESTABLISHED BY THE STATE OF FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. 1 AGREE
THAT THE ABOVE INFORMATION 15 CORRECT AND REFERS TO THE ADDRESS LISTED ABOVE.
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T:MyMEADOWS
ERPESTCONTROLU-C
8000 WAY,SUITE 22
MCR50NVILLE,FL 33256900.35555300
Subterranean Termite Protection Builder's Guarantee OMB Appmml No.2502-0525
This loon is completed by the builder. (am.05130018)
Public reporting human for this collection of information Is estimated to average 5 minutes per response,Including the What b reviewing WslrucMns,searafrq
existing data sources,gathering and Maintaining cine data needed,and completing and reviewing the wllection of Information.This Information is required to
obreln benefits,HUD may not collect this information,and you are not requited W complete this form,unless it displays a currently void OMB control number.
Section 24 CFR 2DD.926d(b)(3)stakes es that US,sites for HUD Insured structures most be hate of termite hauards.This information collection requires a
licensed Pest Control company to provide the builder a record of specific treatment Information In those gases when if any method other Wan use of pressure
treated lumber is used f«prevention of subterranean termile infestation.When appicable.farm HUD h MA-Wlf must accompany the form HUD-NPMA-99-A.
Stallions,pest control companies,mortgage lenders,homebuyers,and HUD as a record of(instrument for specific homes will use cine inrmmation collected.
The information is not considered!confidentiol,therefore no assurance of wnlldentaliy,Is pnoWded.
TNa team H shAnitlW tar prapmetl Inewl.ensWtlion rases when Prevention a sWkoreen arms irleFlam a spe.yled try to babecp requred by the lender the
tmrued.FHA.VA.
Tris Imn k to be oampklec by the lacer.This guaranies is issuetl by IM Mass,b IM layer This guarantee Is not to be wnsi0ara0 as a waiver a,or b paw of,any legal rghts
or remedies and inns layer may have against the Wide..
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Atlantic Beach FL 32233
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The Undersigned Wu laki Mrt4y taidayS lhN a Slate hmnseOIX olh r.m.Moth'ant peal mnM mmllanY(wnar t moral by Suite law)was mNRaea b treat the
property al the svaan referenced above b Mom subterranean lemdles The trader further M.IMI the cpnlmct with the Pest...smgany mound Me
beatrenl materials and Methods used to be It mnlwmen®with at applioabl2 SWe and!Fetleral remiraments.M wpm moused!by Mea mnVaa has bean consul
ua ess=trio w HUDNPMA99e,Where ml pMgad W app9wNe Stale I¢mriHlanb.IM bryer,bran aoodonel lee oYaae a tla peal cm4ol mnDwhV.mry
valent Ure pmleubn ap0ist sublemcean INmiles.CIXllaa to peel cpnlml mrnpanY bled m Vw atlOCM1mm1 bNnMr nlomation
TM Ouiber hereby ptsmrees IM1N,M wblerteneen lama nksatim aM1oaE arur wlNn one Year mom IM dale a tlm.np,tlw buitla wit ensure Mat a Awnmd w
anwwiu Slate MoMoaed pest mniml company will Beal as necessary W coma infestations In the swdum.The bunter realment wW be wawul seat b the laye,.
t perry"by Sate Ian,IM surer may mnlmd tiredly,M the buyers expense,wan a past mNml company to missed the Popery on a Wriotlb twins and xse
EPAreablwen Mcdhcls W coma any Inlestsrnn.The Water will not be naponsibb la guaranleer,aucr mmraded worm.The Water IuMer agrees b mast at
damage by subkrtammn kmtlks MMn Ne orS,,war Wilder'a warranty period.This guarantee tlms not apply m socialite or summon Thal are made lay Ma Wye,
which ateW Na orgiral slmdmas W tmalmenL Fiampks Induce,laI ore rot tira1M b,kmswpe ant mush allpalbm,wNdh oaluN IM GeaaOOreo BM Ceak
rex suWlmanean lemons narams,a Inledae wive Uw cpnWl meawms.11 Mtlar IM guarenlee ppbtl IM adker questions tla va1i011y d e dam by Me Iuryer,Vb
W W MII M iwm4geled lay en noose.expert naaallY pmeable to IM buyer ant hilar.TM relnrt ori time expe'I MI a amapletl m Me basis W tllsppsUbn of
Me wsa.T1s ran-pmveilUg party WI pay Me seal of any Inspertims made b nvBalgats IM cbW.Far NMN Womaan,wntscl Your SWe sWduml Pell mnU01
"At"perry.All rend..must W i....loan.with this Interrogate!Residential Code. �h
Typeppaservmo::
13 Terms,eat S,,l ✓ MAppkeowpoo Treatment ✓ Sal Treatment Insisted Prattle,U.System
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The Witter outlets wl sublemahean krmte prevention was Installed using pressure"poo IUm[fr only and ceNIkB Mat um a Me geasure realM lu nal a in
complianw with ppirade balm,rates ant HUD requiemmts inducing Mortgagee tons,2001U4.Note:Usip pressure tre ho sills as a sae m.11pdof
lema s pmventon to NOT acwpableaM violates this requirements of Martgages Letter 201
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erikeraslPuve: pm; 11/10/2016
communal Maintenance Aerials,mammal,Intpmtec Past b Paevardbn of Wood Daelmylp Insects.Informlbn nal, 9 MavantRh a wootldeshgiq
trent Weatslan a raPlul b any Proper,owner naR51M n Pmtso1'vg IM aWdure Imm Inhsa4w AnY slmdwe pit m 611MAe0lay wootl tleslrpyih,rReaf.PMoob route
need shawtl Ovide mmsues b minrnae Mammas of ntesaan in ant arum a Wuctum Fadors whicM1 may lead Ioinf sarion Iron wood destroy,masts trends foam
msuralbn at kuMarnn, wravwCM wn an,lent,Pada Newsod powelebudus,Imuff ra mbatoon,moslure,woo!dents M sow.wood ankh,Iram braMes
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.manus a Wmaliom by wood amonn g iraece.am IM need for realmMl
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Wamng,HUDwR proseMa lase tlaims am dasnents Cprvicam may newt n cdrmal aWor dvt wMtllea 118 U S.C.10M.1010.1012:31 U.S.C.3]26.38021
lam XUDNPYAA9A(8/A108)