586 Timber Bridge Lane TERMITE TREATMENT Ira Turner Jacksonville, Florida Main Office
!TT!. Pest 480 Edgewood Avenue, South•Jacksonville, Florida 32205.904-355-5300.904-353-1488 (Facsimile)
Control St. Marys, Ga.—912-576-1300•Daytona Beach, Fla.—386-788-8303•Melbourne, Fla.—321-951-3325
Ocala, Fla. 352-351-4386•Port St. Lucie, Fla.—772-621-7905•Tampa, Fla.—813-681-6381
What's Bugging You? Toll Free:800-225-5305•www.turnerpest.com
Pre-Construction Home Termite Servicing Agreement
Property Owner's Name: Walden, Mark sonable costs of repairs subject to the above limitation.Turner is responsi-
ble for repairs only if it has been given the opportunity to inspect the cov-
Covered Premises Address: 586 Timber Bridge Ln ered premises in the area requiring repair PRIOR TO THE START OF ANY
City, State,Zip Code:Atlantic Beach, FL 32233-7341 REPAIRS. In the event that damage is discovered by parties other than
Turner,the owner agrees to notify Turner of such damage within 48 hours of
Billing Address (If different): discovery of such damage.
City, State,Zip Code: INITIAL INSPECTION: This Agreement calls for an Initial Inspection of the
Primary Telephone: 904-502-9601 Covered Premises upon transfer of the property from the Builder to the
Homeowner.All charges and fees for the Initial Inspection are included in the
Alternate Telephone: price of the pre-construction treatment, and are the responsibility of the
Builder.
Type of Structure: Single Family Residence
Detached Structures Included: NONE This Agreement contains all the terms and conditions of the Agreement and
no other representations of statements will be binding upon the parties. No
Warranty Start Date: 03/07/201 9 alterations of or additions to this Agreement(other than information to fill in
the blanks) are effective or enforceable unless the alteration or addition is
Turner Pest Control, LLC (herein "Turner" ) is authorized to provide the signed by a corporate officer of Turner.
treatment for the prevention and control of subterranean termites to the
Structure and Detached Structures listed at the above Covered Premises
Address (herein 'Covered Premises") on behalf of the Property Owner's
Name (herein"Owner") listed above. Turner Representative:
INITIAL TREATMENT: This Agreement will become effective upon full pay- Date: 02/25/2019
ment for the Initial Pre-treatment by the Builder. Continuation of the termite
protection is subject to payment of the annual renewal fees by the Owner,or
Builder if unsold after twelve months after the initial pre-construction treat-
ment,and general terms and conditions on the reverse side hereof.
ANNUAL RENEWAL FEE: This Agreement is renewable from
year-to-year, upon re-inspection of the covered premises by
Turner and upon payment of the annual renewal fee of
$250 00 due and payable in full on or before the
Renewal Date of the Agreement. The Renewal Date is
defined as each one year anniversary starting with the
"Warranty Start Date."
Turner reserves the right to adjust the annual renewal fee as
of the second (2nd) renewal year, or any year thereafter.
Following expiration of the 4 year renewal, Turner
reserves the right to require the covered premises to be
completely retreated, at a rate to be determined by Turner,
subject to Turner and owner entering into a new termite
service agreement.
COVERAGE: This Agreement provides for the re-treatment and repairs for
damage to the Covered Premises limited to an aggregate of
$1000400 . For as long as this Agreement remains in effect,Turner
will perform any further re-treatment it finds necessary,free of charge,sub-
ject to the terms and conditions of this Agreement.
REPAIRS: If subterranean termite damage occurs to the Covered Premises
DISCOVER MasterCard VISA
while this Agreement is in effect,then Turner will be responsible for the rea-
imimm
Reorder Form No.6035
Rush To Excellence Punting,904-367-0100
New Construction Subterranean Termite OMB Approval No.2502-0525
(exp.04/30/2015)
Service Record
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 lender,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: Tomer Pest Control LLC
Company Address 8400 Baymeadows Way, Suite 12 City Jacksonville State FL _Zip 32256
Company Business License No. JB112358 Company Phone No. 904-355-5300 _
FHA/VA Case No. (if any)
Section 2: Builder Information
Company Name Riverside Homes Phone No. 352-258-8804
Section 3: Property Information
Location of Structure(s)Treated(Street Address or Legal Description,City,State and Zip) 586 Timber Bridge Ln,Atlantic Beach, FL 32233-7341
Section 4:Service Information
Date(s)of Service(s) .02/25/2019, 10/18/2018, 08/27/2018
Type of Construction (More than one box may be checked) til Slab [ I Basement n Crawl Other_ —
Check all that apply:
A. Soil Applied Liquid Termiticide
Brand Name of Termiticide: EPA Registration No.
Approx. Dilution(%): Approx.Total Gallons Mix Applied: Treatment completed on exterior:I I Yes No
-X B.Wood Applied Liquid Termiticide
Brand Name of Termiticide: BORA-CARE,Premise Pro.05% EPA Registration No._64405-1, 432-1449
Approx. Dilution(%):.23, 0.05 Approx.Total Gallons Mix Applied: 4.00GA,70.O0GA
n C. Bait system Installed
Name of System_ __EPA Registration No. Number of Stations installed
n D. Physical Barrier System Installed
Name of System Attach installation information(required)
Service Agreement Available?n Yes No
Note:Some state laws require service agreements to be issued.This form does not preempt state law.
Attachments(List) Pre-Construction Home Termite Servicing Agreement
-
Comments The building has received a complete treatment for subterranean termites.Treatment is in accordance with the rules and laws
.established by the Florida Department of Agriculture and Consumer Services (Per the Florida Building Code).
Name of Applicator(s) SVEHLA, SHAWN _Certification No. (if required by State law) JB112358
The applicator has used a product in accordance with the product b I and state requirements.All materials and methods used comply with state and federal
regulations.
Authorized Signature - a. - _ _ Date 02/25/2019 _
Warning:HUD will prosecute false laims and statemen s.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-B(08/2008)
, • •
!ia Turner
TT .Pest
Control
What's Bugging You?
CERTIFICATE OF COMPLIANCE
FOR TERMITE PROTECTION
INFORMATION REQUIRED AS PER FLORIDA BLDG CODES 104.2.6. & 1816.1
CONTRACTOR: Riverside Homes
PERMIT#: --
SITE LOCATION: 586 Timber Bridge Ln
Atlantic Beach, FL 32233-7341
DATE OF TREATMENT: 02/25/2019 TIME OF TREATMENT: 08:38:17 AM
AREA TREATED: SQUARE FOOTAGE: LINEAR FOOT:
IDENTITY OF APPLICATOR: SVEHLA, SHAWN
PRODUCT NAME: BORA-CARE, Premise Pro .05%
CHEMICAL NAME: DISODIUM OCTABORATE TETRAHYDRATE, IMIDACLOPRID
(DIFFERENT FROM PRODUCT)
(FOR BAIT SYSTEMS-LIST CHEMICAL NAME THAT WILL BE USED IF TERMITES ARE DETECTED)
PERCENT CONCENTRATION: 23, 0.05
(FOR BAIT SYSTEMS-IF YOU DONT HAVE THE%=TELL HOW MANY STATIONS PER FOOT)
NUMBER OF GALLONS: 4.00GA, 70.00GA
(FOR BAIT SYSTMS-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
FLORIDA DEPARTMENT OF AGRIGULTURE AND CONSUMER SERVICES.
I,AGREE THAT THE ABOVE INFORMATION IS CORRECT AND REFERS TO THE ADDRESS LISTED ABOVE:
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ARD . • L / B 17
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CE"TI' ED PE ' CO—.7431 •' OR
TURN ' ' Ca NTROL, LLC.
MAIN OFFICE
480 EDGEWOOD AVENUE SOUTH
JACKSONVILLE, FL 32205
PHONE: 904-355-5300
FAX: 904-353-1488