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2937 Willow Oak Drive - Jackson, Gary - 10-01-2024 - $378.4210/1/2024 9:19:39 AM Instrument #2024190816 #1 Book:8615 Page -898 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 filed 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: 2937 WILLOW OAK DR, EDGEWATER, FL 32141 (29389-8005) Customer name: JACKSON, GARY Parcel ID No. 8402-01-13-0470 Legal description: LOTS 13047 TO 13049 INC BLK 418 FLORIDA SHORES UNIT 20 MB 19 PG 240 PER OR 4493 PG 0537 Property owner: JACKSON, GARY L The City hereby claims a lien in the amount of THREE HUNDRED SEVENTY-EIGHT and 42/100 dollars ($378.42), 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. 1N WITNESS WHEREOF, the City of Edgewater, acting by and through its Interim City Manager, has executed this instrument this 24th day of September, 2024, WITNESSES: jj Printed Address: 104 N. Riverside Dr., Edgewater, FL 32132 ,Y_ A } Printed Name: 1 ' f 0'C' Xi2QR— Address: 104 N. Riverside M., Edgewater, 32132 STATE OF FLORIDA COUNTY OF VOLUSIA CITY OF EDGEWATER, FLORIDA J r u n , Interim CityManager I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State and County aforesaid to take acknowledgments, personally appeared Jeffrey Thurman. Interim 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 Ophysical presence or Oonline notarization. WITNESS my hand and of%icial seal in the County and State last aforementioned this 24th day of September, 2024. �;ca.t.e+ntyo ....• x ...Y'i: �.5.^4. ».�: ^:51.: t,�•Xfvt.'.L:Sa�. -G2! Nota Fubiic Sign ure (Seal/Stamp) Volusia County Propey Appraiser VMUSIA Cour4n, Nanwry AmmwsF�a 123 W. Indiana Ave.,rtRm. 102 LAMY TL TT, JD, Cr -A DeLand, FL. 32720 Phone: (386) 736-5901 Web: vcpa.vcgov.org Parcel', Summary Alternate Key: Parcel ID: Township -Range -Section: Subdivislon-Block-Lot: Owner(s): Mailing Address On File: Physical Address: Property Use: Tax District: 2024 Proposed Millage Rate: Neighborhood: 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 18,.629 4743 Yes https://vcpa.vcgov.org/parcel/summary/?altkey=3954637 Page 1 IProperty Description NOTE. This property description may be a condensed/abbrevia1ed version of the original descrip0on as recorded on deeds or other legal instruments in the pubfic records of the VOILISra County Clerk of Court. It may not include the Public Land SUrvey ystern's Section, TownsNp, Range information or the county in which the property is located. It is intended to represent the farad boundary only and does not include easernents or other interes,ts of record. this description should not be rased for purposes of conveying property title. The Proporty Appraiser assumes no responsibility for the consequences of inappropriate uses or interpreta lions of the property descriptions found on this site, LOTS 13047 TO 13049 INC BLK 418 FLORIDA SHORES UNIT 20 MB 19 PG 240 PER OR 4493 PG 0537 hftps,,//vcpa.vcgov.org/parcel/summary/?altkey=3954637 Page 2 ........... - Prit 29389-8005 ,Customer name: JACKSON, GARY Billing address: 2937 WILLOW OAK DR EDGEWATER, FL 32141-5630 Delivery point: No Phone number: 0 Customer status: ACTIVE Social security: Driver's license: Yes Group number: I Auto Pay payment: NO AUTO PAY Penalty exempt: No Tax exempt: No .......... . .... .. ..... . . . ......... . Confidential: No Cash only: No IDB account: 0100 Special code; j5pecial notes: Yes NSF count: I Reinstate owner: No Account Activity �Current balance: 11,04138 Deferred amount; 0100 Amount due: 11,041.38 Pending: 0.00 Last bill: 8/28/24 1pelinquent amount: 10,952.34 Last notice: Cutoff date: 9/05/24 Cycle/route: 04 / 15 Deposit: Yes Payment plan: No . ....... .... ........ .. . . . .. . .. . ....... ..... . . .. ... ... ... . ...... . . . . .. .... . IService address: 2937 WILLOW OAK DR. EDGEWATER, Ft. 32141 Initiation date: 11/01/1999 Account status" ACTIVE Customer type: Ow OWNER Service Rate Group Status Meter RC EW/R /T ACTIVE RF EW/R /I ACTIVE ST Ew/R /I ACTIVE SW EW/R /I ACTIVE WA EW/R /I ACTIVE 87374440 . ... ........ . . ...... ... Number Request Status Type Svc Sep 162799 4/18/2023 CO MC WA 000 1132318 6/12/2020 Co PM WA 000 1100553 11/08/2016 CO LP WA 000 400424 11/03/2016 Co OF WA 000 X098201 8/04/2016 CO ON WA 000 . .. . ........ . ... r O 30� o a O � w N„ m, N °O i 3OOS% �^ o 3o.7gle o G Mop data 02024 Google' Report a ffm an I ccounts receivables Credit history data j WA WATER Deposits Pending transactions Recent activity Misc In rmation --- - -- ---- ------ Option Tm Type 'type Tm Date Description Bill Date Due Date I Amou�t Receipt . j BL Bill 8/27/24 CYCLE BILL 8/28/24 9/17/24 89.04 . - 20 Adj 8/21/24 20 Day Penalty 7/28/24 4.45 I — i BL Bill 7/26/24 CYCLE BILL 7128/24 8/19/24 89.04 11 - . 20 Adj 7/22/24 20 Day Penalty 6/28/24 4.45 - • - BL Bill 6/26/24 CYCLE BILL 6/28/24 7/18/24 89.04 20 Adj 6/19/24 20 Day Penalty 5/28/14 4.45 BL Bill 5/24/24 CYCLE BILL S/28/24 6/17/24 89.04 - --- `V�-. 20 Adj 5/22/`24 20 Day Penalty 4/28/24 4AS ----- BL Bill 4/25/24 CYCLE BILL 4/28/24 5/20/24 89.04 20 Adj 4/19/24 20 Day Penalty 3/28/24 4.46 BL Bill 3116/24 CYCLE BILL 3/28/24 4/17124 89.16 LL 1 20 Adj 3/20/24 20 Day Penalty 2/28/24 j 4.45 _--- BL Bill 2/26/24 CYCLE BILL 2118124 3/19124 89.04 20 Adj 2/21/24 20 Day Penalty 1/28/24 4.45 y BL Bill 1/25/24 CYCLE BILL 1/28/24 2120/24 89.04 44 N 2i314i15J'10 ���