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2937 Willow Oak Drive - Jackson, Gary - 02-24-2022 - $567.342/24/2022 10:18:19 AM Instrument #2022043530 #1 Book:8208 Page:3327 Laura E. Roth, Volusia County Clerk of Court UTILITIES LIEN CITY OF EDGEWATER JACKSON, GARY Pursuant to the provisions of Chapter 19 (Section 19-6), Code of Ordinances, City of Edgewater, Florida, the City of Edgewater (the "City") furnished utilities services to the following described real property located in Volusia County, Florida: LOTS 13047 TO 13049 INC BLK 418 FLORIDA SHORES UNIT 20 MB 19 PG 240 PER OR 4493 PG 0537 Property location: 2937 WILLOW OAK DR EDGEWATER, FL 32141 Parcel #: 8402-01-13-0470 (29389-8005). The record owner is JACKSON, GARY L. 2937 WILLOW OAK DR, EDGEWATER, FL 32141 The City hereby claims a lien in the amount of FIVE HUNDRED SIXTY-SEVEN and 0,34/100 dollars (S567.34), plus interest in the amount of seven percent 7% per annum from the date the utility bill was rendered, filing fees, and any other costs incurred by the City. WITNESSES: Signed, sealed and deliverer) in the presence of: STATE OF FLORIDA COUNTY OF VOLUSIA CITY OF EDGEWATER, FLORIDA Glenn A. Irby, City Manager Dated: February 18. 2022 I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State and County aforesaid to take acknowledgments, personally appeared Glenn A. Irby, City Manager for the City of Edgewater, who is duly authorized to execute this document on behalf of the City of Edgewater, Florida, and is personally known to me and who executed the foregoing instrument and acknowledged before me that lie executed the same by means of Zphysical presence or El online notarization. WITNESS my hand and official seal in the County and State last aforementioned this 18"' day of February 2022. p MQN1flUi:TOUPIN 4 � r, Commission # HH 142679 ii r Expires June 15, 2025 No ary Pub is Signature (Seal/Stamp) 5andedThruTroyFainlnsutanceb005857049 .. �.. I VOLUSIA COUNTY P0.OVEXTY APV0.AISE0. LARRY BARTLETT, JD, CFA WE VALUE VOLUJIA Volusia County Property Appraiser 123 W. Indiana Ave., Rm. 102 Deland, FL. 32720 Phone: (386) 736-5901 Web: vcpa.vcgov.org Parcel Summary Alternate Key: Parcel ID: Township -Range -Section: Subdivision -Block -Lot: Owner(s): Mailing Address On File: Physical Address: Property Use: Tax District: 2020 Certified Millage Rate: Neighborhood: Business Name: Subdivision Name: Homestead Property: 3954637 840201130470 18-34-02 01-13-0470 JACKSON GARY L - FS - Fee Simple - 100 2937 WILLOW OAK DR EDGEWATER FL 32141 5630 2937 WILLOW OAK DR, EDGEWATER 32141 0100 - SINGLE FAMILY 604-EDGEWATER 20.55 4743 Yes https://vcpa.vcgov.org/parcel/summary/?altkey=3954637 Page 1 Z abed L£9796£= (aMIIeZ/tiewwns/laced/6Jo•no6on•edon//:sdlly LE90 Od £677 210 213d 07Z Od 66 8W OZ llNn S32iOHS VCM:JOl3 967 N-18 ONI 640£1 Ol L70E6 SlOI 'alis si41 uo punoi suopduosep 4adoid e41 to suoilelaidjalui jo sasn sleudoiddew to seouenbasuoo e41 iol fgll!gisuodsei ou sawnsse iasiejddy 4edwd a41'app 49dad 6ui6enuoo to sesodmd jol pesn eq lou pings uopduosap siyl 'pima] to slsajelui ie410 jo sluawasee epnpui lou seop pue ,quo Ajepunoq puel a41 luesaidej of pepualui si 11 'Peleool si Ryadad e414ol4m ui /4unm eyl jo uoilewjolw e6uea 'digsumol 'uopoaS s,wels/S 6enmS puel opgnd e41 epnpui lou hew 11 'linoo to luep lqunoo eisnIon aql to spimaj opgnd e41 ut sluewrulsui lebal je410 jo speep uo peplmej se uopduosap lew6uo e41 10 ❑olslaA peleinejgge/pesuapuoo a eq hew uopduosap /4iedmd s'41 310N uollduosaa A:padoJd 2/17/22, 10:40 AM CX - A customer at a glance Account 29389-8005 Customer Information — i Customer name: JACKSON, GARY Billing address: 2937 WILLOW OAK DR — EDGEWATER, FL 32141-5630 Delivery point: DR. EDGEWATER, FL 32141 Phone number: 0 Customer status: ACTIVE Social security: Driver's license: 1 Group number: Reinstate owner: Auto Pay payment: NO AUTO PAY Penalty exempt: No Tax exempt: No uSiO rrl <'l :Alert Confidential: No Cash only: No — IDB account: 2937 WILLOW OAK DR. EDGEWATER, FL 32141 Special code: 11/01/1999 .' Special notes: Yes NSF count: 1 Reinstate owner: No Meter RC EW/R Customer Account Information — Current balance: 8,194.75 /I ACTIVE Deferred amount: 0.00 /I ACTIVE Amount due: 8,194.75 /I ACTIVE Pending: 0.00 /I ACTIVE Delinquent amount: 8,111.69 Last notice: Cutoff date: 2/03/22 Cycle/route: 02 / 15 Deposit: Yes Payment plan: No Pending and Recent 5 Service Orders — Number Request Status Type Svc Seq 132318 6/12/2020 CO PM WA 000 100553 11/08/2016 CO LP WA 000 100424 11/03/2016 CO OF WA 000 httpsJ/edge.aspgov.com:8100/naviline/session?fncid=CXS0000412&token=A783E3C8A783D7C2A6FOC2Cl D8Cl C1 C1 C1 C1 C79SA2A7D2Cl C1 D9A... 1/2 Service Summary — i Service address: 2937 WILLOW OAK DR. EDGEWATER, FL 32141 Initiation date: 11/01/1999 Account status: ACTIVE Customer type: OW OWNER Service Rate Group Status Meter RC EW/R /I ACTIVE RF EW/R /I ACTIVE ST EW/R /I ACTIVE SW EW/R /I ACTIVE WA EW/R /I ACTIVE 51295873 Pending and Recent 5 Service Orders — Number Request Status Type Svc Seq 132318 6/12/2020 CO PM WA 000 100553 11/08/2016 CO LP WA 000 100424 11/03/2016 CO OF WA 000 httpsJ/edge.aspgov.com:8100/naviline/session?fncid=CXS0000412&token=A783E3C8A783D7C2A6FOC2Cl D8Cl C1 C1 C1 C1 C79SA2A7D2Cl C1 D9A... 1/2 2/17/22, 10:40 AM 098201 8/04/2016 CO ON 4:A 00F 094725 4/05/2016 CO ON WA 000 Service Address Map CX - A customer at a glance °o 0 6 � Q - m`O G n _ til v aas a Google £ ' a Accounts receivables Credit history data WA WATER Deposits Pending transactions Recent activity We, data 02023 Option Trn Type Type Trn Date Description Bill Date Due Date Amount C Runnin RF Adj 2/02/22 Disconnect Fee 12/26/21 35.00 8,194.7! BL Bill 1/26/22 CYCLE BILL 1/28/22 2/17/22 83.06 8,159.7: [ 20 Adj 1/19/22 20 Day Penalty 12/28/21 4.15 8,076.6 [ RF Adj 1/05/22 Disconnect Fee 11/28/21 35.00 8,072.5 LBL Bill 12/23/21 CYCLE BILL 12/28/21 1/16/22 83.06 8,0375 L - 20 Adj 12x21/21 20 Day Penalty 11/28/21 4.15 7,954.4 LRF Adj 12/06/21 Disconnect Fee 10/28/21 35.00 7,950.3 -� BL Bill 11/23/21 CYCLE BILL 11/28/21 12/20/21 83.06 7,915.32 LJ 20 Adj 11/18/21 20 Day Penalty 10/28/21 4.12 7,832.2 RF Adj 11/03/21 Disconnect Fee 9/28/21 35.00 7,828.1! ` - BL Bill 10/26/21 CYCLE BILL 10/28/21 11/17/21 82.30 7,793.1'- 20 Adj 10/19/21 20 Day Penalty 9/28/21 3.97 7,710.8! [_ RF Adj 10/08/21 Disconnect Fee 8/28/21 35.00 7,706.8 [ BL Bill 9/24/21 CYCLE BILL 9/28/21 10/18/21 79.37 7,671.81 20 Adj 9/20/21 20 Day Penalty 8/28/21 3.97 7,592.5 111 N ❑[�3❑ 4 5� [H ❑IN hltpsl/edge.aspgov.00m:8100/naviline/session?fncid=CXS0000412&token=A783E3C8A783D7C2A6FOC2Cl D8C1C1 C1 Ct C1 C795A2A7D2Cl Ct D9A... 212