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Home My WebLink AboutTERMITE TREATMENTPlanning & Development Services Building & Code Regulation Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICl4TE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #.:!Z ,2 - d a h / JOB ADDRESS: BUILDER/CONTRACTOR: PEST CONTROL CONTRA( PEST CONTROL LICENSE We, the undersigned, hereby certify that vie have pretreated the above described construction for subterranean termites in accordance with the standards of the National Pest Control Association. Square feet if area treated: t} ?, - Chemicals used: Percentage of solution: c Total gallons used: 1 t Date of Treatment: Time of Treatment: Footing _Slab 15' Treatment ,Treatment _ Re -Treat Re -Treat Drivetroay -Pools 1Sz Treatment 1" Treatment Re -Treat Re -Treat Other � erimeter for Final Inspection LL 1 15C Treatment Re -Treat Signature of Exterminator Date Note: There must be a completed form for each required treatment or re -treatment and this form must be on t/re job site to be picked up by the inspector at time of each inspection or the scheduled inspection Will fail and a re -inspection fee charged FBC104.2.6 Certificate of Protective Treatment for prevention of termites A o-veather resistantjobsite posting board shall be provided to receive duplicate TreatmentCertifcates as each required protective treatmentis completed, pro viding a copy for the person the permit is issued to and another copy for the building permit files The Treatment Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to Anal building approval St Lucie County requires for the final inspection for CO, a Permanent :Sticker to beNeed on the electrical panel box cover, listing all the treatments and dates of applications. ACT 08 20�? 201Z-10-03 14:14 br,-" ?h fax 3219569317 >> .- P 1/3 vocvtr t-orastruction Subterraa;�- anTermite OMB Approval No.2502-0525 d Seivice Record (exp. 04/30/2015) This form is comolpfprl hv 11va 8..nnee%A o-... O%__.-_, .,___ _ e Iti instructions, searching existing datasources. gathering and maintaining the data needed, and tes co pler at ng and reviewingthe of action of time tor 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 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, homabuyers, and HUD as a record of treatment for Specific homes will use the information collected. The Informatlon is not considered oonfldentlal therefore no assurance of s a record o is provided, This report is submitted for Informational purposes to the bulkier 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: Goneral Information (Past Control Company Information) Company Name HomeTeam Past Defense Inc. Company Address 4341 "nuns Piece City West Melbourne Company Business License No. JBt55929 State FL Zip, 32904A532 FHA/VA Case No. (if any) Company Phone No. 321-409.8489 Section 2; Builder Information Company Name Shellco Phone No. 772-288-2024 Section 3: Property Information Location of Structure(s) Treated (Street Address or Legal Description, City, State and Zip) 5032 Watersong Way, Fort Pierce, FL, 34949-9211 Section 4: Treatment Information Date(s) ofService(s) 3/21/2012 Type of Construction (More than one box may be checked) ® Slab J. Basement J Crawl ! i Other Check all that apply: ® A. Soil Applied liquid Termiticide Brand Name of I Maxx Pro 432-1332-AA- Termlticide: EPA Registration No. 73748 Approx. Dilution (%): ll Approx. Total Gallons Mix Applied: —� Treatment completed on exterior: 10 Yes C No J B. Wood Applied liquid Termlticide Brand Name of 11Waxx Pro 432-1332-AA. Termiticide: EPA Registration No. 73748 Approx. Dilution (%): .05 Approx. Total Gallons Mix Applied: 154 ] C. Bait system Installed Name of System: No A installed Registration Number of Stations ] D, Physical Barrier System Installed Name of System: Attach installation Information (required) Service Agreement Available? ® Yes U No Nob: Some state laws require service agreements to be Issued. This form does not preempt state law, Attachments (List) Comments Name ofApplicator(s) HDTORAES t' Certification No. (if required by State law) JF132379 The applicator has used a product in a and federal regulations, c rc wl th arod at label and state requirements. All materials and methods used comply with state 1 / I r Authorized Signature `J K Date 03122i12 Warning: HUD will prosecute false Claims antl statements. Conviction may result in crintinat and/or civil penalties, (1a U.S.C. Col. 1010. 1012: 31 U.S.C. 3729, 3802) form HUD-NPMA-99.B rnAtinnni 2012-10-03 14:15 brr'� `,h fax 3219569317 >> P 2/3 ouplterra,nean 1 ermite Proteci'ion Builder's Guarantee OMB Approval No. 2502-0525 This�fOrm iS completed by the builder. (exp. 0413wo15) 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 Iiconsed Peet 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-99-8 must accompany the form HUD-NPMA-99-A, Builders, pest control companies, mortgage provided, conlenders, homebuyors, and HUD as a record of treatment for specific homes will use the Information collected. The Information Is not considered confidential, therefore no assurance is This form Is submitted For proposed (now) construction cases when prevention of subterranean termite Infestation Is specified by the builder or required by the lendor, the architect, FHA or VA, This form is to W 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 10031 rights or romedlos that the buyer may have against the builder. FHANA Case No.: LOCOtlon of Structures) (Street Address, or Legal Descrlptlon, City. State and Zip): 5032 Watersong Way, Fort Pierce, FL 34940.9211 Buyers Name; Builder Is to check and co 1,rn lets either box 1 or box .2. Pest Control Company Applied Treatment (Sea HUD-NPMA 990 for treatment Information) The undersigned builder hereby Codifies that a Slate licensed or otherwise authorized pest control company (where required by State law) was contracted to treat the property at the location referenced above 10 prevent subterranean terrtltas. 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 998. 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 10rmlles. Contact the pest control company listed on the attachment for further Informatlon. Tho builder hereby guarantees that, If subterraneen termite Infestation should occur within one year from the date of closing, the builder will ensure that a Ilcensod or otherwise State authorized pest control company will treat as necesary 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 buyers expense, with a pest control company 10 Inspect the Property on a periodic basis and use EPA registered products to control any Infestation. The bullderwltl not be responsible for guaranteeing such controctod work. The builder further agrees to repair all damage by subtenaneon termites within the one-year builders warrant to additions or altomflons that are made by the buyer, which affects tho Original structure Or treatment. Examples Include, but are snot limited ouarantee � landscape and mulch alterations. which disturb the treated area and crealo now 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 export will be aCCeplod es 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. of Service, . I Y __,.., I , _. - _ _ ,wader Installed Subterranean Termite PrOvantlOn using Pressure Treated Lumbar The builder Cerifts that subterranean termite prevention was Installed using pressure treated lumber only and Certifies that u30 Of the pressure treatd lumber Is In compliance with applicable building codes and HUD requlromenis Including Mortgage* Letter 2001.04, Noto: Ueing pressure treated sills as e a solo method of termite provontlon Is NOT acceptable and vlolatus the requirements of Mortgagoo Lotter 2001-o4, Attachmonts: Builders Company Name: SHELLCO Phone No.: 772.288,2024 Builder's Signeluro: Date: 03122/2012 Consumer Maintenance Advisory regarding Integrated Post Managomontfor Provontlon 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 maintenance should Include measures to minimize possibilities of Infestation In and around a structure. Factors which may teed to Infestation from wood destroying Insects Include foam Insulation at foundation, earth -wood contact, faulty grade, firewood against structure, Insuflletent vonllletion, moisture, wood debris In crawl space, wood mulch, Iroe branches touching structures, landscape tlmbera, and wood rat, Should these or other such conditions exist, corrective measure should be taken by the owner In order to reduce the chancos of Infestations by wood dostf0ying Insects, and the need for treatment. An Original and one copy of this guarantee are to be prepared by the builder and sont to tho fonder. The lendor provides one copy to the buyer at closing and includes a copy In the VA loon package or HUD Insurance case binder, The builder sends one copy 10 the 110043ed post control Company which performed the treatment. Atta ed Is a copy of the e outhorizatt st cOntfOl 's Now ruction Subterranean Warning: HUD will prosecute false claims and statements. Convict on may etsult In criminal and/or civillenalties. (18 Ste Service r Cd. M 001N 010,10 2:31 U.S.C. 3729.3602) form MUD-NPMA-99-A (812000) 2012-10-03 14:15 brr ' fax 3219569317 >> r � _) Mat HomeTeam 0111T 01.1r4ir. New Construction Subterranean Termite Treatment This report le submitted for information purposes to the builder on (new) Construction eases where treatment for proventlon Of sublerrenean termite Inloatailon is required by the Florida Building Code. Section 104.2.6, All contracts for servlces_ire between the Pr+ t Cantrol One6h[ And builder unless ttafart r,fha� .. JVlge, Section 1: Hometeam Pest Defense Company Address: 4341 Fortune Pines Clty: West Melbourne Stele; FL 32804- ZIp:1S32 Company Phone No.: 321-4094469 Business License No.: J8165929 Section 2; Builder Information Company Name: Shellco Phone No.: 772.288-z024 Section I Property Information Building Permit No.: Location of Structure($) Treated: 5a32 53tersong Waxy Fort Pierce. Type of Construction; ® Slob J Basement Li Crawl U Other Approximolo Depth of Fooling; Outside,- Inside: Type Fill; DIRT Section 4: Treatment Information Date(s) of 7realment(s); 3/21/2012 EPA Registration No.: 432.1332•AA.73748 Brand Name of Product(s) Used: I Moxx pro Final Mix Solution:.06 Treatment Aran Sq. Ft.: _ Linear FL Linear Ft. of Masonry vaids: I= Gallons of Tenniticide Applied: 154 Service Agreement Available? eyes UNo Liquid treatment: ®Yes UNo Llquld &W exterior treatment: a Yes UNo aorato treatment: L Yes O No Belt In lieu of Pretreat L.Yes 0No This building has received a Complete treatment for the prevOndon of Subterranean IormlteS. Treatment is In accordance with the rules and IOw3 established by the Florida Deportment ofAgriCulturo dConsumer Services. Initiol Note: Some state Tows require service agreements to be Issued. This form does not preempt slate low. Attachments (List) Comments Nome of AppliCoto s)- I OR S Certification Na.: JF132370 Authorized Signatu A, Date 09l22112 nn.rrroros P 3/3