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2007 Travelers Palm Drive - G-Force Holdings LLC - 01-04-2024 - $303.921/4/20241:06:50 PM Instrument #2024002517 #1 Book:8503 Page:2362 Laura E. Roth, Volusia County Clerk of Court UTILITIES LIEN CITY OF EDGEWATER G -FORCE HOLDINGS LLC 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 3868 & 3869 BLK 1.07 FLORIDA SHORES NO 5 MB 23 PGS 107-108 INC PER OR 4884 PG 4353 PER OR 8316 PG 4157 PER OR 8344 PG 0342 PER OR 8344 PGS 0347 THRU 0349 INC PER OR 8490 PG 2103. Property location: 2007 TRAVELERS PALM DR, EDGEWATER, FL 32141 Parcel #: 8402-01-03- 8680 (25959-16378). The record owner is G -FORCE HOLDINGS LLC, 5067 W 12TH ST, JACKSONVILLE, FL 32254. The City hereby claims a lien in the Amount of THREE HUNDRED THREE and 92/100 dollars ($303.92), 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: Aa S:af A A- 1 Signed, sealed and delivered in the presence of: STATE OF FLORIDA COUNTY OF VOLUSIA CITY OF EDGEWATER, FLORIDA n Glenn A. Irby, City Manager Dated: December 28, 2023 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 he executed the same by means of ®physical presence or CJonline notarization. WITNESS my hand and official seal in the County and State last aforementioned this 28'h day of December, 2023. „—, IJPIN COMIDOU �'.�}'c � EADiTBS:L'•s;t: i �. Z'?9�t,;;CF �;Jll•s.5'7�iQ ':ice: 8er�edThtd icc�Ft•.+••��.p. (Seal/Stamp) Notarx Public Si ` ature Volusia County Property Appraiser ..��■■ VOlU51FCOUtIttPNOPEftttAPPWlI5E0. 123 W. Indiana Ave., Rm. 102 LARRY BARTLETT, JD, CFA DeLand, FL. 32720 WE VALUE VOLUSIA 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: 2023 Final Millage Rate Neighborhood: Subdivision Name: Homestead Property: 3919742 840201038680 18-34-02 01 -03-8680 G -FORCE HOLDINGS LLC - FS - Fee Simple - 100% 5067 W 12TH ST JACKSONVILLE FL 32254 1643 2007 TRAVELERS PALM DR, EDGEWATER 32141 0100 - SINGLE FAMILY 604-EDGEWATER 18.8506 4783 No hftps:Hvepa.vcgov.org/parcel/summary/?altkey=3919742 Page 1 Property Description NOTE: This property description may be a condensed/abbreviated version of the original description as recorded on deeds or other legal instruments in the public records of the Volusia County Clerk of Court. It may not include the Public Land Survey System's Section, Township, Range information or the county in which the property is located. It is intended to represent the land boundary only and does not include easements or other interests of record. This descdption should not be used for purposes of conveying property title. The Property Appraiser assumes no responsibility for the consequences of inappropriate uses or interpretations of the property descriptions found on this site. LOTS 3868 & 3869 BLK 107 FLORIDA SHORES NO 5 MB 23 PGS 107-108 INC PER OR 4884 PG 4353 PER OR 8316 PG 4157 PER OR 8344 PG 0342 PER OR 8344 PGS 0347 THRU 0349 INC PER OR 8490 PG 2103 https://vcpa.vcgov.org/parcel/summary/?altkey=3919742 Page 2 Account 25959-16378 Customer Information BCustomer name: G -FORCE HOLDINGS LLC - Billing address: 5067 W 12TH ST IACKSONVILLE, FL 32254 Delivery point F l lap-= AJI Phone number: (386) 315-2640 Customer status: ACTIVE Social security: Active Driver's license: 0.00 Group number: 1,358.92 Auto Pay payment: NO AUTO PAY Penalty exempt: No Tax exempt: No Customer Alerts Confidential: No Cash only: No &-notification: Active IDB account: 0.00 Special code: 1,358.92 BSpecial notes: Yes NSF count: 1 Reinstate owner: No Customer Account Information QCurrent balance: 1,358.92 Deferred amount: 0.00 Amount due: 1,358.92 Pending: 0.00 BDelinquent amount: 1,358.92 Last notice: Cutoff date: 1/04/24 Cycle/route: 04 / 12 Deposit: Yes Payment plan: No Service Summary ©Service address: 2007 TRAVELERS PALM DR. EDGEWATER, FL 32141 Initiation date: 12/28/2001 Account status: ACTIVE Customer type: OW OWNER Service Rate Group Status Meter • RC v== EW/R /I ACTIVE -y=-- RF EW/R /I ACTIVE RM EW/R /I ACTIVE ST EW/R /I ACTIVE SW EW/R /I ACTIVE WA EW/R /I ACTIVE 85122929 Pending and Recent 5 Service Orders Number Request Status Type Svc Seq e163603 5/09/2023 CO LP WA 000 19161791 3/14/2023 CO LP WA 000 19155670 8/22/2022 CO ON WA 000 Q154790 7/12/2022 CO LP WA 000 5153754 6/14/2022 CO LP WA 000 service Address Neap — 0 0 c a G N N90' y v o m i 'R i A S Pa 3 0 o O o 9 "o o' Vf n' Gole 9 Q a Map data D2023 Google Report a map amr Accounts receivables Credit history data I WAWATER Depositss endingtransactions Recentactivity Misclnformation option Trn Type Type Trn Date Description Bill Date Due Date Amount Runnin! - OC Pmt 12/14/22 EDCECLM 12132204 420.97- 35.00 L - RF Adj 12/06/22 Disconnect Fee 10/28/22 35.00 455.95 - L EC Bill 11/23/22 ECVCBILL 11/28/22 12/19/22 93.03 420.9' _... r - 20 Adj 11/18/22 20 Day Penalty 10/28/22 464 327.94 - RF Adj 11/18/22 Disconnect Fee 9/28/22 35.00 3233C - EC Bill 10/26/22 E CVC BILL 10/28/22 11/17/22 92.81 2883( - 20 Adj 10/19/22 20 Day Penalty 9/28/22 4.68 195.49 - EC Bill 9/26/22 ECVC BILL 9/28/22 10/18/22 93.62 190.81 - 20 Adj 9/20/22 20 Day Penalty 8/28/22 4.63 97.19 - EC Bill 8/25/22 ECVCBILL 8/18/22 9/19/22 92.56 9256 IN Pmt 8/22/22 3RDPTV_CX 08212299 686.59- 0.00 - 20 Adj 8/18/22 20 Day Penalty 7/28/22 6.71 686.5'. - EC Bill 7/26/22 E CVC BILL 7/28/22 8/03/22 99.18 679.81 - 20 Adj 7/19/22 20 Day Penalty 6)'28/22 6.82 580.7( - LP Adj 7/14/22 Lock/ Pull Meter 35.00 573.8E �W4ii44 '1'12104;s� M W