150 OCEAN GATE DR - TERMITE CERTIFICATE Subterranean Termite Protection Builder's Guarantee OMB Approval No.2502-0525
This form is completed by the builder. (exp.05!3012018)
Public reporting burden for this collection of information is estimated to average 5 minutes per response,including the time for reviewing instructions,searching
existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of Information.This information is required to
obtain benefits.HUD may not collect this information,and you are not required to complete this form,unless it displays a currently valid OMB control number.
Section 24 CFR 200.926d(b)(3)requires that the sites for HUD insured structures must be free of termite hazards.This information collection requires a
licensed Pest Control company to provide the builder a record of specific treatment information in those cases when if any method other than use of pressure
treated lumber is used for prevention of subterranean termite Infestation.When applicable,form HUD-NPMA-99-B must accompany the form HUD-NPMA-99-A.
Builders,pest control companies,mortgage lenders,homebuyers,and HUD as a record of treatment for specific homes will use the information collected.
The information is not considered confidential,therefore no assurance of confidentiality is provided.
This form is submitted for proposed(new)construction cases when prevention of subterranean term to infestation is specified by the builder or required by the lender,the
architect,FHA or VA.
This form is to be completed by the builder.This guarantee is issued by the builder to the buyer.This guarantee is not to be considered as a waiver of,or in place of,any legal rights
or remedies that the buyer may have against the builder.
FHANA Case No.:
Location of Stnidure(s)(Street Address,or Legal Desaipt on,City,State and Zip).
150 Ocean Gate Drive
Atlantic Beach FL 32233
Buyers Name
Builder isdto check and complete either box 1 or box 2.
1.t_/ fest Control Company Apptied Treatment(See MUD-NPMA 99B for treatment information)
The undersigned builder hereby certifies that a State licensed or otherwise authorized pest control company(where required by State law;was contracted to treat the
properly at the location referenced above to prevent subterranean termites,The builder further certifies that the contract with the pest control company required the
treatment materials and methods used to be in conformance with all applicable Stale and Federal requirements.All wont required by the contract has been completed
unless noted on HUD-NPMA 99B.Where not prohibited by applicable State requirements,the buyer,for an additional fee payable to the pest control company,may
extend the protection against subterranean termites.Contact the pest control company listed on the attachment for further information
The builder hereby guarantees that,if subterranean termite infestation should occur within one year from the date of clos.ng,the builder will ensure that a licensed or
otherwise State authorized pest control company will treat as necessary to control infestations in the structure,This further treatment wit'be without cost to the buyer
If permitted by State law,the buyer may contract directly,at the buyer's expense,with a pest control company to inspect the property on a periodic basis and k.se
EPA registered products to control any infestation.The builder will not be responsible for guaranteeing such contracted work.The builder further agrees to repair all
damage by subterranean termites within the one-year builder's warranty period.This guarantee does not apply to additions or alterations that are made by the buyer,
which affects the original structure or treatment.Examples include,but are not limited to,landscape and mulch alterations,which disturb the treated area and create
new subterranean termite hazards,or interfere with the control measures.If within the guarantee period the builder questions the validity of a claim by the buyer,the
claim will be investigated by an unbiased expert mutually agreeable to the buyer and builder.The report of the expert will be accepted as the basis for disposition of
the case.The non-prevailing party will pay the cost of any inspections made to investigate the claim,For further information,contact your State structural pest control
regulatory agency.All service must be In compliance with the International Residential Code. ,
Type of Service:: 0 Termite Bail System A( rte
Field Applied Wood Treatment Soil Treatment tl Installed Physical Barrer System
2. Builder Installed Subterranean Termite Prevention using Pressure Treated Lumber
The builder certifies that subterranean termite prevention was installed using pressure treated lumber only and certifies that use of the pressure treated lumber is in
compliance with applicable building codes and HUD requirements including Mortgagee Letter 2001-04.Note:Using pressure treated sills as a sole method of
termite prevention is NOT acceptable and violates the requirements of Mortgagee Letter 2001-04.
Initial of Builder Date
Attachments:
Builders Company Name: Phone No: _
Builder's Signature: Date: 05/31/2018
Consumer Maintenance Advisory regarding integrated Pest Management for Prevention of Wood Destroying Insects.Information regarding prevention of wood destroying
insect infestation is helpful to any property owner Interested in protecting the structure from infestation Any structure can be attacked by wood destroying insects.Periodic mainte
Hance should include measures to minimize possibilities of infestation in and around a structure.Factors which may lead to infestation from wood destroying insects include foam
insulation al foundation,earth-wood contact,faulty grade,firewood against structure,insufficient ventilation,moisture.wood debris in crawl space,wood mulch,tree branches
touching structures,landscape timbers,and wood rot.Should these or other such conditions exist,corrective measure should be taken by the owner in order to reduce the
chances of infestations by wood destroying insects,and the need for treatment
An original and one copy of this guarantee are to be prepared by the bu[der and sent to the lender The lender provides one copy to the buyer at dosing and includes a copy in the
VA loan package or HUD insurance case binder The builder sends one copy to the licensed pest control company which performed the treatment.
Attached is a copy of the state authonzed pest control company's New Construction Subterranean Termite Service Record,HUD-NPMA-99-B,
Warning.HUD will prosecute false claims and statements Conviction may result in criminal and/or civil penalties (18 U S.C.1001.1010,1012:31 U.S.C.3729.3802)
form HUD-NPMA-99-A(8/2008)
New Construction Subterranean Termite OMB Approval No.2502-0525
Service Record (exp.05/30/2018)
This form is completed by the licensed Pest Control Company
Public reporting burden for this collection of information is estimated to average 15 minutes per response,including the time for reviewing instructions,
searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information.This information
its required to obtain benefits.HUD may not collect this information,and you are not required to complete this form,unless it displays a currently valid OMB
control number.
Section 24 CFR 200.926d(b)(3)requires that the sites for HUD insured structures must be free of termite hazards.This Information collection requires the
builder to certify that an authorized Pest Control company performed all required treatment for termites,and that the builder guarantees the treated area
against Infestation for one year.Builders,pest control companies,mortgage lenders,homebuyers,and HUD as a record of treatment for specific homes will
use the information collected.The information Is not considered confidential,therefore,no assurance of confidentiality is provided.
This report is submitted for informational purposes to the builder on proposed(new)construction cases when treatment for prevention of subterranean termite
infestation is specified by the builder,architect,or required by the tender,architect,FHA,or VA.
All contracts for services are between the Pest Control company and builder,unless stated otherwise.
Section 1:General Information(Pest Control Company Information)
Company Name: Turner Pest Control
Company Address 8400 Baymeadows Way, Suite 12 city Jacksonville State Florida Zip 32256 _
Company Business License No. JB 112358 Company Phone No. 904-355-5300
FHANA Case No.(if any)
Section 2:Builder Information
Company Name Habitat For Humanity Beaches Phone No. 904-595-5797
Section 3:Property Information
Location of Structure(s)Treated(Street Address or Legal Description,City,State and Zip)150 Ocean Gate Drive Atlantic Beach FL 32233
Section 4:Service Information
Date(s)of Service(s) 11/20/2017 05/31/2018
Type of Construction(More than one box may be checked) ✓Slab j Basement _ Crawl ✓ Wood Frame
Check all that apply:
nA.Soil Applied Liquid Termiticide
Brand Name of TermiticidePremise Pro EPA Registration No.432-1449
Approx.Dilution(%);.05 Approx.Total Gallons Mix Applied:28 Treatment completed on exterior Yes ❑ No
nB.Wood Applied Liquid Termiticide
Brand Name of Termiticide: Bora-care EPA Registration No. 64405-1
Approx.Dilution(%): 23% Approx.Total Gallons Mix Applied: 5
I C.Bait system Installed
Name of System EPA Registration No. Number of Stations installed
D.Physical Barrier System Installed
Name of System Attach Installation information(required)
Service Agreement Available Yes No
Note:Some state laws requir service agreements to be issued.This form does not preempt state law.
Attachments(List)
Comments
Name of Applicator(s) Rashawn Clark Rashawn Clark Certification No,(if required by State law)
JE218783 J E218783
The applicator has used a product in accordance with the product label and state requirements.All materials and methods used comply with state and federal
regulations.
Authorized Signature Date 05/31/2018
Warning:HUD will prosecute false claims and statements.C fiction may result in criminal and'or civil penalties (1a u.S.C.1001,1010.1012;31 U.S.C.3729,3802)
form HUD-NPMA-99•B(08/2008)
ra Turner
70.7 Pest
.�'''.a�Control
TERMITE CERTIFICATE
INFORMATION REQUIRED AS PER FLORIDA BUILDING CODES 104.2.6&1816.1
CONTRACTOR: Habitat For Humanity Beaches
797 Mayport Rd
Atlantic Beach FL 32233
SITE LOCATION: Beaches Habitat Building I
150 Ocean Gate Drive
Atlantic Beach FL 32233
PERMIT#: 2354
DATE OF TREATMENT: 11/20/2017 05/31/2018
AREA TREATED: 68 Linear Linear
IDENTITY OF APPLICATOR: Rashawn Clark JE218783 Rashawn Clark JE218783
PRODUCT NAME: Premise Pro Bora-care
CHEMICAL NAME: Imidacloprid Disodium Octaborate Tetrahydrate
(DIFFERENT FROM PRODUCT)
(FOR BAIT SYSTEMS-LIST CHEMICAL NAME THAT WILL BE USED IF TERMITE ARE DETECTED)
PRECENT CONCENTRATION: .05 23%
(FOR BAIT SYSTEMS-IF YOU DON'T HAVE THE%=TELL HOW MANY STATIONS PER FOOT)
NUMBER OF GALLONS: 28 Gallons 5 Gallons
(FOR BAIT STATIONS-ENTER#OF STATIONS USED)
FINAL STATEMENT:
THE BUILDING HAS RECEIVED A COMPLETE 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. I AGREE
THAT THE ABOVE INFORMATION IS CORRECT AND REFERS TO THE ADDRESS LISTED ABOVE.
X
AUTHORIZED SIGNER FOR PEST CONTRO
TURNER PEST CONTROL LLC
8400 BAYMEADOWS WAY,SUITE 12
JACKSONVILLE,FL 32256 904-355-5300