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2007 Travelers Palm Drive - G-Force Holdings LLC - 04-29-2024 - $310.414/29/20249:39:05 AM Instrument #2024082167#1 Book:8549 Page:1854 Laura E. Roth, Volusia County Clerk of Court Prepared by: Bonnie zlotnik, City Clerk City of Edgewater 104 N. Riverside Drive Edgewater, FL 32132 UTILITIES LIEN This Utilities Lien is riled in accordance with the provisions of Chapter 19 (Section 19-6), Code of Ordinances, City of Edgewater, Florida. The City of Edgewater ("Lienor") furnished utilities services to the following described real property located in Volusia County, Florida: Property location: 2007 TRAVELERS PALM DR, EDGEWATER, FL 32141 (25959-16378) Customer name: G -FORCE HOLDINGS LLC Parcel ID No. 8402-01-03-8680 Legal description: LOTS 3868 K 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 Property owner: G -FORCE HOLDINGS LLC The City hereby claims a lien in the amount of THREE HUNDRED TEN and 41/100 dollars ($310.41), 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. IN WITNESS WHEREOF, the City of Edgewater, acting by and through its City Manager, has executed this instrument this 22nd day of April, 2024. WITNESSES: I I � U Printed Name: v 2 t c1 Address: 104 N. River ide Dr., lEdgelvater, FL 3 132 C--41- I. d/6 "I �-) Printed Name: C! [. 11-5t7r-e Address: 104 N. Riverside Dr., Edgewater, FL 32132 STATE OF FLORIDA COUNTY OF VOLUSIA CITY OF EDGEWATER, FLORIDA Glenn A. Irby, City Manager 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 Managor 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 Donline notarization. WITNESS my hand and official seal in the County and State last aforementioned this 22nd day of April, 2024. col lssissoi;rli;ltr,2G79 Notaiy Public Sign` (Seal/Staml) ,•'`":.. �1ar..;:dT^•e�vyrni�I.,vr�aCaAJO.335.7�iB ' »R+.oecrnn. wea 00 r/0 onan Alli VOEUMA Courm Psom.'A r), APPRAMk LARRY BARTLETT, JD, CFA WE VALUE VCiLUSIA 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: S u bd !vision -Bl:ock-Lot: Owner(s): Mailing Address On File: Physical Address: Property Use: Tax District: 2023 Finial Millage Rate: Neighborhood: Subdivision N�ame: 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 https://vcpa.vcgov.org/parcei/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 Volusj':a County Clerk of Court. It rnay not include the Public Land Survey Systern's Section, TownsWp, Range information or the county in which the property is located. It is intended to represent the land boundary only and does riot include easements or other interests of record. This description should not be used for purposes of conveying property title. The Property Appraiser assumes no responsibiEty for the consequences of inappropriate uses or interpretations, of the property descripUons found on this site. LOTS 3868 & 3869 BLK 107 FLORIDA SHORES NO 5 MB 23 PGS 107-108 INC PER OR -1 -M4 PG 4353 PER OR 8316 PG 4157 PER OR 8344 PG 0342 PER OR 8344 PGS 0347 THRU 03491 INC PER OR 8490 PG 2103 https-.//vcpa.vcgov.org/parcel/summary/?altkey=3919742 Page 2 Account 25959-16378 f,']j,Cus tome r naime; G -FORCE HOLDINGS LLC - Billing address: 5067 W 12TH ST JACKSONVILLE, FL 32254 Delivery point: Phone number: (386 315-2640 Customer status: ACTIVE Social security: Driver's license: Group number: Auto Pay payment: NO AUTO PAY Penalty exempt: No Tax exempt: No -111- .. . ......... 1, 1 i E j 2111 Confidential: No Cash only: No -not i fic at ion Active ID8 account: Special code: pecial notes: Yes NSF count: I Reinstate owner: No ......... . . — ----- ­­_—, . .. .. ...... . ...... [],Account Activity 1pd)�,�),J(Current balance: 1,767.87 Deferred amount: 0.00 Amount due: 1,767.87 Pending: 0.00 FIRDLlinquent amount 1,669,33 Last notice: Cutoff date:' 4/04/24 Cycle/route: 04 / 12 Deposit: Yes Payment plan; No . ... . ..... . . . ....... .... .. .. . . .... t,1,Service address; 2007 TRAVELERS PALM DR, EDGEWATER, FL 32141 Initiation date; 12128/2001 Account status: ACTIVE Customer type! OW OWNER Service Rate Group Status Meter RC EW/R /I ACTIVE RE EW/R /I ACTIVE RM EW/R /I ACTIVE ST EW/R /I ACTIVE LRjg), SW Ew,PR /I ACTIVE 11 WA EW/R /I ACTIVE .... . ......... 85122929 .. ........ ... . ....... . Number Request Status Type Svc Sep &9163603 5/09/2023 co LP WA 000 �!%)161791 3/14/2023 CO LP WA 000 &SS670 8/22/2022 CO ON WA 000 &54790 7/12/2822 CO LP WA 000 M153754 6/14/2022 CO LP WA ON Service Address Map ip roS Accounts receivables Credit history data I WA WATER _fDeposits Pending transactions I Recent actKft I Mi -14-, Information I Option Trn Type Type Trn Date Description Bill Date Due Date Amount Runninj EC Bill 3/26/24 E CYC BILL 3nEV24 4/17/24 98-54 1,797.85 20 Adj 3/20/24 20 Day Penalty 2/28/24 4.9 1,669M. EC Bill 2/26124 E CYC BILL 2t28124 3/19/24 98.54 1,664.44 20 Adj 2/21/24 20 Day Penalty 1/28/24 4. 9� 1,565.8( EC Bill 1/25/24 E CYC BILL I128124 2/20/24 9844 1,560.9: 20 Adj 1/18124 20 Day Penalty 12/28/23 4.9 7 1,46234 — ----- --- ---- -- EC Bill 12/26/23 E CYC BILL 12/28/23 1/17/24 98.S4 1,457.4( 20 Adj 12/19/23 20 Day Penalty 11128/23 4.9131r358.9: EC Bill 11/27/23 E CYC BILL 11t28123 12/18/23 9854 1,353.95 20 Adj 11/20/23 20 Day Penalty 10/280 4.65 1,255.4.r EC Bill 10/26123 E CYC BILL 10/28123 11/17/23 96.92 1,250.6( 20 Adj 10/19/23 20 Day Penalty 9/28/23 4.dS 1,1S3.68 EC Bill 9/26/23 E CYC BILL 9/28/23 10/18/23 93.03 1,149.03 20 Ad] 9/19/23 20 Day Penalty 8/28/23 4 iosr%o( EC Bill 8/24/23 E CYC BILL 8/28/23 9118123 93.03 1,051.35 M 44§L2'[3,1[4GS] [#]EM]