229 PINE ST RES18-0228 FINAL TERMITE & SURVEY rrvik-t --*t RIE75 it, - r)
Su6terranean Termite Protection Builder's Guarantee OMB Approval No.2502-0525
-'This form is completed by the builder. (exp.05130/2018)
Public reporting burden for this collection of Information is estimated to average 5 minutes per response,including the time for reviewing Instructions,searct*V
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)reclaires that the sites for HUD insured structures must be free of termite hazards.This inlicirmation collection requires a
licensed Pest Control company to provide the builder a record of specific treatment information in those cases when it any method other than use of pressure
treated lumber is used for prevention of sublemanean 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 confliclential,therefore no assurance of confidentiality is provided.
This form is submitted for proposed(new)construction cases when prevention of subterranean term teinfestation is specified by the builder or required by the lendw,the
architect,FHA or VA.
This form is to be completed by ft 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.
FHA/VA Case No.:
Location of Structurie(s)(Street Address,or LegW Description,City.State wd Z10 229 Pine St
Atlantic Beach FL 32233
Buyers Name:
Budder is to check and conviete either box I or box 2.
I.FV�est Control Company Applied Treatment(See HUD-NPMA 99B for treatment information)
t, I
The undersigned builder hereby certifies that a State licensed or otherwise authorized pest control company(where required by State law)was ccintrzicled to treat the
property at the location referenced above to prevent subterranean leninites.The budder further certifies that the contract with the pest control company required the
treatment materials and methods used to be in conformance with all applicable State and Federal requirements.All work 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 closing,the budder will ensure that a licensed or
otherwise State authorized pest control conVany will treat as necessary to control infestations in the structure.This further treatment wil!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 an a periodic basis and tse
EPA registered products to control any infestation.The budder Will not be responsible for guarantee4rig such contracted work.The budder furither agrees to repair all
damage by subterranean ternites within the one-year builder's warranty period,This guarantee does not apply to additions or alterations that are made by the buyK
which affects the original structure or treatment Examples include,but are not lim0ed to,Landscape and mulch alterations,which disturb the treated area and create
new subterranean termite hazards,or interfere with the control measures.If wittiin the guarantee period the Wider questions the validly 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 disjocsiition of
the case.The non-prevailing party will pay the cost of any inspections made to investigate the cJaim.For further information,contact your State structural pest control
regulatory agency.All seirvice must be In compliance with the International Residential Co-de.
Type of Service:: ID Termite Ball System 7FieldApphed Wood Treatment Treatment Installed Physical Barrier System
2,(9 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 preveriticin Is NOT acceptable and violates the requirements of Mor�tgagee Letter 2001-04.
Initial of Builder Date
Attachments:
Builders Company Name: Phone No:
Buildees Signature: Dais. 03-25-2019
consumer Maintenance Advisory regarding integrated Pest Management for Prevention of Wood Destmyfng Insects.Information regarding prevention ofwood 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 mairle
nanCe should incJude measures to minim4ze possibilities of infestation in and around a structure Factors which may lead to infestation from wood destroying insects include foam
insulation at foundation,earth-wood contact,faulty grade,firewood against structure,insufficient ventilation,moisture.wood debris in crawl space,wood mulch,tree branches
touching structures,landscape limbers,and wood rol.Should these or other such conditions exist,corrective measure should be taken by the owner in order to reduce the
I 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 Ider and sent to the lender.The lender provides one copy to this buyer at closing and lindludes a copy in Me
VA loan package or HUD insurance case binder The builder sends one copy to the licensed pest control company which perfortmed the treatment.
Attached is a copy of the state authorized 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.(16 U S.C.1001,1010,1012:31 U.S.C.3729.3802)
form HUD.NPUA-99-A(&7M)
New Construction Subterranean Termite OMB Approval No.2502-0525
- Service Record (exp.05130/2018)
This form is completed by the licensed Pest Control Compa
Public reporting burden for this collection of information Is estimaz 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
ils required to obtain benefits.HUD may not collect this informabon,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)
CompanyName: Turner Pest Control
CompanyAddress 8400 Baymeadows Way, Suite 12 CityJacksonville State Florida -Z. 32256
Company Business License No. JB 112358 Company Phone No. 904-355-5300
FHA/VA Case No.(if any)
Section 2:Builder Information
Company Name JBIL Development Group Phone No. 904-962-7227
Section 3:Property Information
Location of Structure(s)Treated(Street Address or Legal Description,City,State and Zip)229 Pi ne-St Atlantic Beach FL 32233
Section 4:Service Information
Date(s)of Service(s) 10-17-2018
Type of Construction(More than one box may be checked) []SIab Basement 7j Crawl W�ther Wood Frame
Check all that apply:
7A.Soil Applied Liquid Termiticide
Brand Name of Terriniticide: EPA Registration No.
Approx.Dilution(%):_ Approx.Total Gallons Mix Applied: Treatment completed on extericrO Yes No
a,Wood Applied Uquid Termiticide
Brand Name of Termiticide: Bora-care EPA Registration No. 6440.5-1
Approx.Dilution(%): .23 Approx.Total Gallons Mix Applied: 2.18
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 Availablefv—/]Yes No
Note:Some state laws require,ser ice agreements to be issued.This form does not preempt state law.
Attachments(List)
Comments
Name of Applicalor(s) Rashawn Clark Certificadon No.(if required by State law) JE218783
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 03-?5-2019
Waming:HUD will prasecule false claims and statement./—ft.may resuh in criminal and,'cr dvil penalMs (18 U.S.C.1001,1010.1012;31 U.S.C.3729,3802)
form HUD-NPMA-99-B(0&2008)
IWTurner
T.�7 t Pest
MlControl
TERMITE CERTIFICATE
INFORMATION REQUIRED AS PER FLORIDA BUILDING CODES 104.2.6 & 1816.1
CONTRACTOR: JBL Development Group
1028 Lauriston Dr
Saint Johns FL 32259
SITE LOCATION: JBL Development Group
229 Pine St
Atlantic Beach FL 32233
PERMIT#:
DATE OF TREATMENT: 10-17-2018
AREATREATED: 130 Linear Linear
IDENTITY OF APPLICATOR: Rashawn Clark JE218783
PRODUCT NAME: Bora-care
CHEMICAL NAME: Disodium Octaborate Tetrahydrate
(DIFFERENT FROM PRODUCT)
(FOR BAIT SYSTEMS-LIST CHEMICAL NAME THAT WILL BE USED IF TERMITE ARE DETECTED)
PRECENT CONCENTRATION: .23
(FOR BAIT SYSTEMS-IF YOU DON'T HAVE THE%=TELL HOW MANY STATIONS PER FOOT)
NUMBER OF GALLONS: Gallons 2.18 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. IAGREE
THAT THE ABOVE INFORMATION IS CORRECT AND REFERS TO THE ADDRESS LISTED ABOVE.
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AUTHC3RIZEE)SIC�NER F�R PEST c/ TURNER PEST CONTROL U-C
8400 BAYMEADOWS WAY,SUITE 12
JACKSONVILLE,FL 32256 904-355-5300
MAP SHOWNG BOUNDARY SURVEY OF
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SECTION NO. 3 SALTAIR
AS RECORDED IN PLAT BOOK 10 PAGES 16 OF THE PUBLIC RECORDS OF DUVAL COUNT)� FLORIDA
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LOT 547 LOT 546 LOT 545
FINAL SURVET FOR C.O.: WO. 2019-174. FB 1214-27, 3-27-2019.
TOPOGRAPHIC & SET FF.E.; WO. 02018-457; 7-26-18
THE PROPERTY SHOW HEREON APPEARS TO LIE WTHIN FLOOD HAZARD ZONE X AS SCALED FROM FLOOD
INSURANCE RA TE MAP 409 FOR DUVAL COUNTY, FLORIDA, DATED 6-03-2013 — AND
IS SHOW AS A COURTESY ONLY AND DOES NOT CONS77TUTE A CER77FCA77ON OF SAME.
TRI-STATE LAND SURVEYORS, INC.
5875 A41NING TERRACE #209, JACKSONWLLE, FLORIDA 32257 (904) 880-2535
LEGEND BEARINGS BASED ON R1W` LINE AS SHOWN.
CM CONC. MON
/P IRON PIPE
RB REBAR THIS SURVEY DOES NOT REFLECT OR DETERMINE OWERSHIP.
R/W RIGH T—OF—WA Y NOT VALID WTHOUT THE SIGNATURE AND THE ORIG1NAL RAISED SEAL
S/W SIDEWALK
DIW DRIVEWAY OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
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COV. COVERED AREA THIS SURVEY BASED UPON DESCRIP77ON AS FURNISHED, AND WTHOUT
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AIC AIR COND1770NING PAD
(R) RADIAL DISTANCE S 81
CONC. CONCRE7E SCALE.-—1"=20' GLENIN�CBROAlOST4WF,:ry 584
E5M'T EASEMENT
B.R.L. BUILDING RES7RIC770N
U14E FIELD WORK DATE. 7-16-2018 pEGISTERED SURVEYOR AND MAPPER,
PC POVNT OF CURVE SIGNATURE DA TE. 7-17-2018 STATE OF FLORIDA (LB #4921)
PT POINT OF TANGENCY
FB. 47,-) ORDER N(
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