51 Forrestal Cir RES20-0122 Termite, Blower DoorUNIVERSAL ENGINEERING
ffices in
SCIENCES ODaytonaBeach
Consultants
in:
• Jacksonville
• Debary
Geotechnical Engineering • Environmental Sciences • Construction Materials Testing . • Orlando
Threshold Inspection a Private Provider Inspections • Home Inspections • Quality Assurance • Gainesville
Inspections
• Condo Conversion Assessments a Building Conditional Assessments • Fort Myers
• Rockledge
• St. Augustine
• West Palm Beach
• Ocala
• Ft Lauderdale
•Tampa
City of Atlantic Beach Building
Department
Dan Arlington, CBO
Chief Building Official
800 Seminole Road
Atlantic Beach, FL 32233
REFERENCE:
51 Forrestal
Collins Builders
Permit # RES20-0122
Universal Engineering Sciences, Inc (UES) has completed the
following inspections for the above
mentioned project.
Underslab Plumbing
08/05/2020
David Butler
Slab
08/10/2020
David Butler
Wall Sheathing
08/24/2020
David Butler
Roof Sheathing
08/24/2020
David Butler
Roof in Progress
09/02/2020
David Butler
Dry In
09/10/2020
David Butler
Rough Frame
09/15/2020
David Butler
Mechanical Rough
09/03/2020
David Butler
Electric Rough
09/08/2020
David Butler
Top Out
09/08/2020
David Butler
Insulation
09/17/2020
David Butler
Drywall Nail OFF
09/22/2020
David Butler
Meter Can / Early Power
11/2/2020
Eric Pardee
Building Final
11/25/2020
David Butler
Mechanical Final
11/23/2020
David Butler
Electrical Final
11/23/2020
David Butler
Plumbing Final
11/23/2020
David Butler
Irrigation
11/23/2020
David Butler
5561 Florida Mining Blvd. South • Jacksonville, Florida 32257 • (904) 296-0757 • FAX (904) 296-0748 • www.UESORL.com
UNIVERSAL ENGINEERING SCIENCES
ffices in
ODaytona Beach
• Jacksonville
Consultants in:
• Debary
Geotechnical Engineering • Environmental Sciences • Construction Materials Testing .
• Orlando
Threshold Inspection . Private Provider Inspections . Home Inspections a Quality Assurance
• Gainesville
Inspections . Condo Conversion Assessments . Building Conditional Assessments
• Fort Myers
• Rockledge
• St. Augustine
• West Palm Beach
• Ocala
• Ft Lauderdale
•Tampa
"To the best of my knowledge and belief, the building components and site improvements outlined
herein and inspected under my authority have been completed in conformance with the approved plans
and the applicable codes."
SincerHiV ��•��
:d�`t1 j � •S E V' �� � * j'�i
c1e;�`'.'A' }
Vice 1� S` � ,%�.
5561 Florida Mining Blvd. South • Jacksonville, Florida 32257 • (904) 296-0757 • FAX (904) 296-0748 • www.UESORL.com
M Turner Jacksonville, Florida Main Office
l� Pest 8400 Baymeadows Way, Suite 12 • Jacksonville, Florida 32256 • 904-355-5300 • 904-353-1488 (Facsimile)
` ' St. Marys, Ga. — 912-576-1300 Daytona Beach, Fla. — 386-788-8303 • Melbourne, Fla. — 321-951-3325
Control 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 Ili
Pre -Construction Home Termite Servicing Agreement
Property Owner's Name: Hedge, Michael
Covered Premises Address: 51 Forrestal Cir S
City, State, Zip Code:32233-3325
Billing Address (If different):
City, State, Zip Code:
Primary Telephone: 9()4-945-7385
Alternate Telephone:
Type of Structure:
Detached Structures Included: NONE
Warranty Start Date: 12/14/2020
Turner Pest Control, LLC (herein 'Turner' ) is authorized to provide the
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.
INITIAL TREATMENT. This Agreement will become effective upon full pay-
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
$300 nn 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
$1000000 . 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
while this Agreement is in effect, then Turner will be responsible for the rea-
ortle� rzrtn 60uh
s, Tc l rs 90,=367-01,11e
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-
ered premises in the area requiring repair PRIOR TO THE START OF ANY
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
discovery of such damage.
INITIAL INSPECTION: This Agreement calls for an Initial Inspection of the
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
price of the pre -construction treatment, and are the responsibility of the
Builder.
This Agreement contains all the terms and conditions of the Agreement and
no other representations of statements will be binding upon the parties. No
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
signed by a corporate officer of Turner.
Turner Representative:
Date: 12/03/2020
DISCC)V ertard �,/�A.
Pre -Construction Dome Termite Servicing Agreement
General Terms and Warranty Conditions
1) This Agreement provides for Turner to perform an initial pre -con-
struction treatment and any subsequent treatments as deemed
necessary by Turner to the structure if a live infestation of the
specified subterranean termites is found in the structure during
the effective period of the Agreement. Turner will make such
repairs as necessary to correct damage with infestation subject to
the following conditions:
• Damage was caused by specified subterranean termites
• Turner personnel verifies the evidence before it is altered or
destroyed.
• All repair work will be performed or supervised by Turner per-
sonnel only unless otherwise agreed in writing by both parties.
• If damage is discovered to be a result of conditions other than
subterranean termites or when conducive conditions have con-
tributed to the presence of subterranean termites, the cus-
tomer agrees to accept responsibility in such cases for the cost
of repairs.
• Turner will repair only the specified areas damaged by the sub-
terranean termites according to the conditions stated herein.
Turner is not responsible for costs incurred to match existing
wall coverings, floor coverings, moldings, paneling, tile or other
cosmetic work.
2) This Agreement does not cover, and Turner will not be responsi-
ble for re -treatment or repairs to any of the following:
• Wood decks, wood steps, wood fences, wooden walk -ways, or
other wooden structures outside the foundation perimeter of
the covered premises, or any area(s) of the structure where
wood members are in direct contact with the ground.
• Area(s) where stucco, coquina, Styrofoam and any other mate-
rial is applied in a manner conducive to infestation or is in
direct contact with the ground.
• Area(s) where moisture conditions conducive to infestation
exist, such as but not limited to faulty plumbing, roof leaks, ele-
vations above slab levels such as planter boxes or any other
conditions that supply water to termites allowing them to sur-
vive above ground.
• Infestations resulting from moisture conditions including but not
limited to fungus.
• Damage to plants, trees, flowers, and/or shrubs adjacent to the
structure.
• Personal expenses including but not limited to lodging, meals,
transportation, loss of use incurred as a result of treatment,
and/or re -treatment, or damages therein.
• Any other indirect expenses or consequential damages relating
to the existence of termites or termite damage.
• Areas where Turner has documented conditions conducive to
infestation that have not been corrected in a timely manner by
the customer.
• Damages or losses caused by war, fire, earthquake, floods, or
other causes beyond the control of Turner.
3) Customer warrants full cooperation with Turner during the
Agreement period and any renewal period and agrees to maintain
the structure free from any factors or conditions contributing to re-
infestation by specified termites. It is the customer's responsibili-
ty to correct any conditions that may inhibit proper inspection
and/or treatment deemed necessary by Turner. This may include
removal of stucco, coquina or other exterior siding materials to a
minimum of four inches above the outside grade level. This may
also include the removal of floor covering material such as wood,
marble, ceramic tile, vinyl or any other floor covering placed over
the concrete slab floors. This may also include the removal of
planter boxes, cabinets, bathtub enclosures, or other obstacles to
allow Turner to gain access to the area requiring treatment. The
customer agrees to pay all expenses to make all non -accessible
areas accessible for treatment and/or inspection as deemed nec-
essary by Turner.
4) The Owner agrees to notify Turner of any additions and/or alter-
ations to the Covered Premises. This may require the Owner to
pay for additional treatment, service charge and/or adjustment to
the renewal fee. Failure to notify Turner will terminate this
Agreement automatically as of the date the structural change(s)
is made.
5) In the event the property is sold, Turner will transfer the
Agreement to the New Owner. The Agreement is assignable at
the sole discretion of Turner.
6) In the event of non-payment of the Initial Treatment, renewal fees,
cost of repairs performed by Turner caused by conducive condi-
tions contributing to infestation, or any other fees due to Turner
under this Agreement, Turner has the right to terminate this
Agreement effective the due date of the unpaid fees.
7) In the event of a change in the existing law as it relates to this
Agreement, Turner reserves the right to adjust the Renewal Fee,
amend the terms of this Agreement and/or terminate this
Agreement. The State listed in Service Address controls opera-
tion of this Agreement.
8) Any claim or complaint of dissatisfaction under the terms of this
Agreement must be made in writing to Turner. Turner is only obli-
gated to perform under this Agreement provided the customer
allows Turner access to the structure for any purposes contem-
plated by this Agreement, including but not limited to re -inspec-
tion, whether the inspection was requested by the Owner or
deemed necessary by Turner.
9) The Owner and Turner agree that any controversy or claim
between them arising out of, or relating to, the interpretation, per-
formance, or breach of any provisions of this agreement, shall be
settled exclusively by arbitration administered by the American
Arbitration Association, under its commercial arbitration rules,
and judgement on the award rendered by the arbitrator(s) may be
entered into any court having jurisdiction. In no event shall either
party be liable to the other for indirect, special, or consequential
damages or loss of anticipated profits.
10 Turner
M", Pest
Control
What's Bugging You?
Subterranean Termite Protection Builder's Guarantee
This form is completed by the builder.
OMB Approval No. 2502-0525
(exp. 09/30/2022)
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, forth 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. HUD is committed to protecting the privacy of individuals' information stored electronically or in paper form, in accordance
with federal privacy laws, guidance, and best practices. HUD expects its third -party business partners, who collect, use, maintain, or disseminate HUD information to protect the privacy of
that inform tion in accordance with a licable law". _
This forth is submitted for proposed (new) construction cases when prevention of subterranean termite 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 Structure(s) (Street Address, or Legal Description, City, State and Zip): 51 Forrestal Cir S
Lot 202
Atlantic Beach, FL 32233-3325
Buyers Name: Hedge, Michael
Builder is to check and complete either box 1 or box 2.
1. X Pest Control Company Applied Treatment (See HUD-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
property 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 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 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 will 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 use
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:: Termite Bait System X Field Applied Wood Treatment Soil Treatment Installed Physical Barrier 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 specified in FHA Single Family Housing Policy Handbook 4000.1 (4000.1). Note: Using
pressure treated sills as a sole method of termite prevention is NOT acceptable and violates the requirements of the 4000.1.
Initial of Builder Date
Attachments: NPMA-99-B
Builders Company Name: Collins Builders
Phone No: 904-268-2511
Date:
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
nance 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 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 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 builder and sent to the lender. The lender provides one copy to the buyer at closing 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 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. (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. 09/30/2022)
This form is completed by the licensed Pest Control Company
Public reporting burden tor this collection a inin�ion 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: Turner Pest Control
CompanyAddress 2941 Dawn Rd
Company Business License No. J F293483
FHA/VA Case No. (if any)
Section 2: Builder Information
Company Name Collins Builders
Section 3: Property Information
City Jacksonville State FL Zip 32217
Company Phone No. 904-355-5300
Phone No. 904-268-2511
Location of Structure (s) Treated (Street Address or Legal Description, City, State and Zip) 51 Forrestal Cir S, Atlantic Beach, FL 32233-3325
Section 4: Service Information
Date(s) of Service(s) 09/11/2020 11/16/2020 11/24/2020
Type of Construction (More than one box may be checked)
Check all that apply:
❑ A. Soil Applied Liquid Termiticide
❑X Slab ❑ Basement ❑ Crawl ❑ Other
Brand Name of Termiticide: EPA Registration No. ,
Approx. Dilution (%): Approx. Total Gallons Mix Applied: Treatment completed on exterior: ❑ Yes ❑ No
❑X B. Wood Applied Liquid Termiticide
Brand Name of Termiticide: BORA-CARE EPA Registration No. 64405-1
Approx. Dilution (%): 23 Approx. Total Gallons Mix Applied: 3.50GA
❑ 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? ❑X 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 ofApplicator(s) HEFLIN, STEVEN
Certification No. (if required by State law) JF293483
The applicator has used a product in accordance with the product I and state requirements. All materials and methods used comply with state and federal
regulations.
Authorized Signature _ Date 12/03/2020
Warning: HUD will prosecute false larms 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-B (08/2008)
W-23Turner
Fest
Control
What's Bugging You?
CERTIFICATE OF COMPLIANCE
FOR TERMITE PROTECTION
INFORMATION REQUIRED AS PER FLORIDA BLDG CODES 104.2.6. & 1816.1 i
CONTRACTOR: Collins Builders
PERMIT #: RES20-0122
SITE LOCATION: 51 Forrestal Cir S
Lot 202
Atlantic Beach, FL 32233-3325
DATE OF TREATMENT: 09/11/2020 TIME OF TREATMENT: 08:59:29 AM
AREA TREATED: SQUARE FOOTAGE: 0 LINEAR FOOT: 0
IDENTITY OF APPLICATOR: HEFLIN, STEVEN
PRODUCT NAME: BORA-CARE, TERMIDOR HE
CHEMICAL NAME: DISODIUM OCTABORATE TETRAHYDRATE, Fipronil
(DIFFERENT FROM PRODUCT)
(FOR BAIT SYSTEMS -LIST CHEMICAL NAME THAT WILL BE USED IF TERMITES ARE DETECTED)
PERCENT CONCENTRATION: 23, 0.125
(FOR BAIT SYSTEMS -IF YOU DON'T HAVE THE %=TELL HOW MANY STATIONS PER FOOT)
NUMBER OF GALLONS: 3.50GA, 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.
REE THAT THE ABOVE INFORMATION IS CORRECT AND REFERS TO THE ADDRESS LISTED ABOVE:
17
LLC.
MAIN OFFICE
8400 BAYMEADOWS WAY, SUITE 12
JACKSONVILLE, FL 32256 PHONE: 904-355-5300
FAX: 904-353-1488
Congratulations on the purchase of your new home!
Florida Law requires that your home be pretreated for termites during construction. Your builder selected
Turner Pest Control to treat your home for the prevention of termites. This treatment ensures that ,you
have complete termite protection for the first year you own your home. It is important for new
homeowners to understand the coverage provided to avoid paying for protection that you already have
and it's important to have your initial inspection within 30 days!
What do you need to do? Your warranty requires an initial inspection.
• Schedule your initial inspection (paid for by the builder) within 30 days.
• The termite warranty will be transferred from the builder to you.
• We will explain the warranty coverage.
• Ask about special offers for pest control and lawn services for new homeowners.
Why did your builder choose Turner Pest Control?
• Turner Pest Control has a reputation for providing the best pest control protection, using
the most advanced products and treatments available.
• Turner doesn't charge homeowners a deductible for repair coverage.
• Our warranty includes Formosan termites at no extra charge.
• You are protected from the first day you own your new home.
• Turner is proud to maintain the highest rating possible from the Better Business Bureau.
• Turner Pest Control has been serving residents of Florida and Georgia since 1971.
Call (904) 355-5300 to schedule your initial inspection and to learn more about your coverage. You can
also schedule your appointment online at TumerPest.com. We offer exact appointment times.
Sincerely,
Mark Slater
CEO
Turner Pest Control
P.S. Your warranty requires an initial inspection and transfer from the builder within 30 days.
MUNIVERSAL
fi1+�lFlii4�ii<I�NC1 �Cl'ENG�J
5561 Florlda Mining Blvd. S 904-759-5278
BiorrAller poor Desi FraI III
PW
JW
Community:
Address:
City, State, Zip
Alr Infiltratlon Test Results
CFM SO =' _l: volume
ACH(50j CFM(50) X 50 1 Volume
nit #:
Pass P alit r.+ r ;:;?' ;: emist be TACH(SO) or less
Duct Leak a fest Results: _~ low plr-'g:T
Square Footage:
Model:
Lot #
8402.4.1.2 Testing. The building or dwelling unit shall be tested arRcl verified as having an air leakage rate of not exceeding 7 air changes
per hour in Climate Zones 1 and 2, 3 air changes per hour in Climate Tones 3 through 8. Testing shall be conducted with a blower door at a
pressure or 0.2 inches w.g. (50 Pascals). Testing shall be conducted by either Individuals as defined In Section 553.993(5) or (7),F.S. or
individuals licensed as set forth in Section, 489.145(3lffy, (g), or (h) or an approved third party. A written report of the results of the test
shall be signed by the party conducting the test and provided to the code official. Testing shall be performed at any time after creation of
all penetrations of the building thermal envelope.
Authorized Third Pa
I hereby certify the above results and that I hold the below certification
�rrlass A or S A/C contractor or Mechanical contractor
RESNET approved HERS Rater or Residential Field Inspector
BPI approved Building Analyst or Entergy Auditor
Professional Engineer
Mechanical ventilation has been added:
No
Tested by Joe Morelle7, Retrotec C eriified
License No. —`
Certification No
Certification No.
License No. —4
Signature
r Date:
'Printed Name, � -