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1401 S Ridgewood Avenue Unit 3 - Hewitt, Charles Jr & Linda Schumann JTRS - 05-19-2011 - $75.00 • 05/19/2011 02:01 PM Instrument# 2011-083516 # 1 CITY OF EDGEWATER Book : 6594 FALSE ALARM LIEN Page : 1 151 Diane M. Matousek CHARLES J. HEWITT,JR& LINDA SCHUMANN JTalusia County, Clerk of Court Pursuant to the provisions of Section 12-67, Code of Ordinances, City of Edgewater,Florida, a lien against the following described real property located in Volusia County,Florida is hereby created in favor of the City of Edgewater: Irreg Parcel in Lots 2 & 3, Block 5, Totem Park Sub being S 20 ft of Approx N 136.10 ft and being 70 ft on N & S Lines aka Unit#3 Halls Holiday Square Inc per OR 5148,PG 4668(Property Location: 1401 S. Ridgewood Ave#3, Edgewater, FL) (Parcel#7433-16-00-0030). The record owners are CHARLES J. HEWITT, JR & LINDA SCHUMANN JTRS, 2519 Glenwood Drive, Edgewater, FL 32141. As the result of five (5) false alarms occurring on March 29, 2011 (3:31 am), March 25, 2011 (3:50 am), March 2, 2011 (3:03 am),February 9, 2011 (1:30 am) and January 20, 2011 (2:32 am), the amount of SEVENTY-FIVE and 00/100 dollars ($75.00) plus any recording fees,foreclosure costs,attorney's fees and simple interest in the amount of eight(8)percent per annum from the date this lien is filed. Such lien shall be prior to all other liens on such property except the lien of state, county, and municipal taxes and shall be on a parity with the lien of such state,county and municipal taxes. Dated this 17th day of May, 2011. WITNESSES CITY OF EDGEWATER, FLORIDA ►��.,�1. V {, k By: Trey T. Barlow di ,,� A 12 C ty Manager Signed, sea ed and delivered in the presence of: STATE OF FLORIDA COUNTY OF VOLUSIA I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State and County aforesaid to take acknowledgments,personally appeared TRACEY T.BARLOW,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. WITNESS my hand and official seal in the County and State last aforesaid this 17th day of May „8�3�Odfl�Jl��I 2011. .. ....,.�•b?' : •`a5 • yQ�P`ES '•,y (Seal/Stamp) Notary Public =y ;moo ° Vim:�� (Commission Expiration Date) State of Florida at Large A�d':�w 9•e4 (Liens\AlarmFalse-Hewitt-1401 SRidgewood-#5-2011) • City of- °= �.'.`„j GEWATER TO: Robin Matusick, Paralegal FROM: Lisa Bloomer, Deputy City Cler DATE: May 3, 2011 SUBJECT: Alarm Liens Please place a lien against the following for failing to register their alarm: Yvomle Thompson 2225 Kumquat Drive Edgewater FL 32141 RE: 2225 Kumquat Drive 1st occurrence — 03/16/11 Alarm Permit $50.00 Please place a lien against the following to excessive alarm Correia Holdings Inc 10879 Piping Rock Cir Orlando FL 32817 RE: 421 Timquan Trail 4 occurrence — 3/17/11 - $50.00 !Charles J Hewitt Jr & Linda Schumann JTRS 2519 Glenwood Drive Edgewater FL 32141 RE: 1401 S Ridgewood Avenue Unit 3 4 occurrence — 3/25/11 - $50.00 Ma 5 occurrence — 3/29/11 - $75.00 104 NORTH RIVERSIDE DRIVE FAX- (386) 424 -2410 SUNCOM 383 -2407 CITY CLERK'S OFFICE- (386) 424 -2400 EXT 1101 BWenzel@cityofedgewater.org i . I ity of Edgewater ), G 60.0d.9: - erarlie's Time Out Sports Bar 29- Mar -11 1401 S Ridgewood Ave Unit 3 Edgewater, FL 32132 Re: 1401 S Ridgewood Ave Unit 3 Dear Alarm User: You are hereby notified that you have violated Section 12 -66 of the Edgewater Code of Ordinances, which prohibits excessive false alarms. Your most recent false alarm within the last six months occurred on 3/29/2011 As of the above date, you have accumulated 5 police calls. Previous violations occurred on: Date Time 3/29/2011 3:31 AM 3/25/2011 3:50 AM 3/2/2011 3:03 AM 2/9/2011 1:30 AM 1/20/2011 2:32 AM Pursuant to Edgewater Resolution No. 94 -R -05, you are hereby assessed a fine of $ 75.00 If payment is not received within thirty days of the date of this letter, a lien will be recorded. Payment may be mailed to the City Clerk, P.O. Box 100, Edgewater, FL 32132 -0100 or delivered to 104 N. Riverside Drive. A copy of this letter must be included with the payment. If you have any questions, please call (386) 424 -2400 Extension 1102. If you believe the activation of the alarm was not a false alarm as defined in Section 12 -61, Edgewater Code of Ordinances, you may appeal that decision to the Citizens Code Enforcement Board pursuant to Section 12 -67, Edgewater Code of Ordinances (386)424 -2414. Sincerely ti Bonnie Wenzel City Clerk Copy to: Finance Director cc: Charles Hewitt Jr & Linda Schumann JTRS 2519 Glenwood Drive Edgewater FL 32141 , . Volusia County Property Appraiser's Office Page 1 of 3 uoiusa Vol usia County Appraiser's Officc The Volusia County Property Appraiser makes every effort to produce the most accurate information possible. No warranties, expressed or implied, are provided for the data herein, its use or interpretation. The values shown in the Total Values section at the end of the Property Record Card are "Working Tax Roll" values, as our valuations proceed during the year. These Working Values are subject to change until the Notice of Proposed Taxes (TRIM) are mailed in mid - August. For Official Tax Roll Values, see the History_ of Values section within the property record card below. Volusia County Property Appraiser's Last Updated: 03 -22- Office 2011 Today's Date: 3 -28- Property Record Card (PRC) Volusia County 2011 Morgan B. Gilreath Jr., M.A., A.S.A., C.F.A. FLORIDA Property Appraiser Full Parcel ID 33- 17- 34 -16 -00 -0030 Mill Group 604 Edgewater Short Parcel ID 7433 -16 -00 -0030 Alternate Key 4083111 Millage Rate 25.17920 Parcel Status Active Parcel PC Code 16 Date Created 04 MAR 1982 Owner Name HEWITT CHARLES J JR & ( GO TO ADD'L OWNERS J Owner Name /Address 1 LINDA SCHUMANN JTRS ( ESTIMATE TAXES Owner Address 2 2519 GLENWOOD DR Owner Address 3 EDGEWATER FL Owner Zip Code 32141 Location Address 1401 S RIDGEWOOD AV 3 EDGEWATER 32132 LEGAL DESCRIPTION ( GO TO ADD'L LEGAL J IRREG PARCEL IN LOTS 2 & 3 BLK 5 TOTEM PARK SUB BEING S 20 F T OF APPROX N 136.10 FT AND BEING 70 FT ON N & S LINES AKA U SALES HISTORY GO TOADD'LSALES # BOOK PAGE DATE INSTRUMENT QUALIFICATION IMPROVED? SALE PRICE 1 5148 4668 8/2003 Quit Claim Unqualified Sale Yes 100 2 4571 1593 7/2000 Warranty Deed Multi parcel sale Yes 115,000 3 4209 1916 6/1997 Quit Claim Affiliated Parties Yes 1 HISTORY OF VALUES ( GO TO ADD'L HISTORY YEAR LAND BLDG MISC JUST ASD SCH NS EXEMPT TXBL SCH ADD'L NS (S) ASD ASD TXBL EX TXBL 2010 29,925 47,584 0 77,509 77,509 77,509 77,509 0 77,509 77,509 0 77,509 2009 28,175 56,909 0 85,084 85,084 85,084 85,084 0 85,084 85,084 0 85,084 http: / /webserver. vcgov.org /cgi- bin/mainSrch3.cgi 3/28/2011 Additional Legal Information Page 1 of 1 LEGAL DESCRIPTION IRREG PARCEL IN LOTS 2 & 3 BLK 5 TOTEM PARK SUB BEING S 20 F T OF APPROX N 136.10 FT AND BEING 70 FT ON N & S LINES AKA U NIT 3 HALLS HOLIDAY SQUARE INC PER OR 5148 PG 4668 http: / /webserver. vcgov. org /cgi- bin/lglpopup.cgi ?Alt_Key = 4083111 &Roll_year =0 &mode =1 3/28/2011 . 1 . Agency Name INCIDENT/INVESTIGATION Case# Edgewater Police Department REPORT 1103-0341 Date/Time Reported 03/29/2011 03:31 Tue N ORI FL0640600 Last Known Secure C Location of Incident Premise Type Zone/Tract 03/29/2011 03:31 Tue I At Found D 1401 S Ridgewood Av, Edgewater FL 32132- Bar/Nightclub/Lounge El 03/29/2011 03.31 Tue N #1 Crime Incident(s) (Corn) Weapon/Tools ,VONE/NOT APPLICABLE Active Alarm-Business T ALB Entry Exit Security D u 2 Crime Incident ( ) Weapon/Tools 1 .Activity. • A T Entry I Exit Security A Crime Incident ( ) Weapon/Tools I Activity . 53 Entry Exit Security MO 4 of Victims I I Type: BUSINESS Injury: Domestic:N Victim/Business Name(Last,First,Middle) Victim of DOB Race Sex Relationship Resident Status Military ✓ V I TIME OUT SPORTS BAR Crime# To Offender Branch/Status I 1, Age N/A C Home Address T Home Phone I 1401 S RIDGEWOOD AV, Edgewater, FL 32132- 386-957-9069 M Employer Name/Address Business Phone Mobile Phone VYR Make Model Style Color Lic/Lis VIN CODES: V-Victim(Denote V2,V3) 0=Owner(if other than victim) R=Reporting Person(if other than victim) O Type: BUSINESS Injury: T Code Name(Last,First,Middle) Victim of DOB Race Sex Relationship Resident Status Military H ADT ALARMS Cnme To Offender Branch/Status E RP Age N/A _ R Home Address Home Phone S 877-238-7739 Employer NameiAddress Business Phone Mobile Phone 1 877-535-0563 N Type: Injury: V Code Name(Last,First,Middle) Victim of DOB Race Sex Relationship Resident Status Military O Crime# To Offender Branch/Status L lI Age V E Home Address Home Phone D Employer Name/Address Business Phone Mobile Phone L=Lost S=Stolen R=Recovered D=Damaged Z=Seized B=Burned C=Counterfeit!Forged F=Found ("OJ"=Recovered for Other Jurisdiction) sl Code FrnvTo Value OJ QTY Property Description Make/Model Serial Number P R 0 P E R T Y Offi cer/1D# CONROY. GARY THOMAS (624) Invest IN (0) Supervisor SELVAGGIO, ERIC RYAN (662) Status Complainant Signature Case Status Case Disposition: Page 1 _ Documentation 03;;29/20011 Not Applicable 03/29/2011 Printed By:LNASTASE,lnastase Sys#:281789 03"29/2011 09:14:24 INCIDENT/INVESTIGATION REPORT By:LNASTASE,►nastase 03/2912011 09:14 Edgewater Police Department Page 2 Case# 1103-0341 Status l =None 2=Burned 3=Counterfeit/Forged 4=Damaged 5=Recovered 6=Seized 7=Stolen 8=Unknown Codes UCR Status Quantity Type Measure Suspected Type Up to 3 types of activity D R U G S Assisting Officers HAZELWOOD, R.L. (628) Suspect Hate!Bias Motivated: None(No bias) NARRATIVE Alarm was reported at the Time Out Sports Bar.ADT advised the pool hall door alarm had been activated. I responded along with Sergeant Hazelwood. Exterior doors were found to be secure.ADT advised there would be no responder. Not weather related. Alarm permit#0493,expiration date was obscured. • ` p • Agency Name INCIDENT/INVESTIGATION Case • Edgewater Police Department REPORT 1103-0285 Date J Time Reported I ORI 03/25/2011 03:50 Fri N FL0640600 Last Known Secure - C Location of Incident Premise Type Zone/Tract 03/25/2011 03:50 Fri D 1401 S Ridgewood Av, Edgewater FL 32141- Bar/Nightclub/Lounge El 4t Found 03/25/2011 03.50 Fri N #1 Crime Incident(s) (Com) Weapon/Tools NONE i NOT APPLICABLE I Activity • Alarm-Business T Entry Exit Security ALB D #2 Crime Incident ( ) Weapon/Tools I Activity • A T Entry Exit Security A - Crime Incident ( ) ,Weapon/Tools Activity #3 Entry Exit Security MO #of Victims / I Type: BUSINESS Injury: Domestic:N Victim.Business Name(Last,First,Middle) Victim of DOB Race Sex Relationship Resident Status Military V V1 TIME OUT SPORTS BAR Crime# To Offender Branch/Status 1 1, Age N/A _ C Home Address Home Phone T[ 1401 S RIDGEWOOD AV V. Edgewater, FL 32132- 386-957-9069 M Employer Name/Address Business Phone Mobile Phone VYR Make Model Style Color Lic/Lis VIN CODES: V-Victim(Denote V2,V3) 0=Owner(if other than victim) R=Reporting Person(if other than victim) O Type: INDIVIDUAL(NOT A LE OFFICER) Injury: T Code Name(Last,First,Middle) Victim f DOB Race Sex Relationship Resident Status Military H CHAFFIN', WINDY ENDORA Crime# 11/30/1978 To Offender Branch/Status E 10 Age 32 W _F _ Resident R Home Address Home Phone S 2320 Eslinger Rd - 125 New Smyrna Beach, FL 32168 386-690-1677 Employer Name/Address Business Phone Mobile Phone I Time Out Sports Pub, Edgewater(BARTENDER) N Type: Injury: V Code Name(Last,First,Middle) Victim of DOB Race Sex Relationship Resident Status Military Crime# To Offender Branch/Status L Age V E Home Address Home Phone D Employer Name/Address Business Phone Mobile Phone L=Lost S=Stolen R=Recovered D=Damaged Z=Seized B=Burned C=Counterfeit/Forged F=Found ("OJ"=Recovered for Other Jurisdiction) vi Code Status Value OJ QTY Property Description Make/Model Serial Number P R 0 P E R T Y Officer/1D# TARR,JOHN WILLIAM (675) Invest[D# (0) Supervisor HUGGINS, TIMOTHY A (638) Status Complainant Signature Case Status Case Disposition: page 1 Documentation 03/25/2011 Not Applicable 03,25'2011 Printed By:LNASTASE,Inastase Sys#:281538 03/25/2011 07:36:57 INCIDENT/INVESTIGATION REPORT By:LNASTASE,Inastase 03/25/2011 07:37 Edgewater Police Department Pace 2 Caseu 1103-0285 Status 1 =None 2=Burned 3=Counterfeit/Forged 4=Damaged 5=Recovered 6=Seized 7=Stolen 8=Unknown - Codes UCR Status Quantity Type Measure Suspected Type Up to 3 types of activity D R U G S Assisting Officers HAZELWOOD, R.L. (628) Suspect Hate/Bias Motivated: None(No bias) NARRATIVE On Friday,03-25-2011, I was dispatched to 1401 S.Ridgewood Avenue,Time Out Sports Pub, in reference to a business alarm. Upon arrival,I made contact with Windy Chaffin,the closing bartender. My investigation revealed the following. W.Chaffin closed down the bar. W. Chaffin didn't get the front door closed soon enough, after setting the alarm. The alarm went off and W.Chaffin waited for the phone call. W. Chaffin advised that the alarm company did not call, so she called the owner. The owner was going to notify the alarm company and cancel police response. However,I arrived on-scene,prior to the cancellation. The business does have an alarm permit. Permit#493,expiring 09/2013. • Agency Name INCIDENT/INVESTIGATION Case# Edgewater Police Department REPORT 1103-0013 • Date/Time Reported 03/02/2011 03:03 Wed N ORI FL0640600 Last Known Secure C Location of Incident Premise Type Zone/Tract 03/02/2011 03:03 Wed I ID _ 1401 S Ridgewood Av, Edgewater FL 32141- Bar/Nightclub/Lounge El At Found 03/02/2011 03.03 Wed E Crime Incident(s) (Corn) Weapon/Tools I Activity • • N #1 Alarm-Business p NONE i�OT,APPLICABLE T ALB Entry Exit Security • D Crime Incident ( ) Weapon/Tools I Activity • A #2 T Entry Exit Security A Crime Incident ( ) Weapon/Tools I Activity #3 Entry Exit Security MO u of Victims 0 Type: Injury: Domestic:N Victim/Business Name(Last,First,Middle) Victim of DOB Race Sex Relationship Resident Status Military ✓ vl Crime# To Offender Branch/Status I _ _ Age CHome Address Home Phone I M Employer Name/Address Business Phone Mobile Phone VYR Make Model Style Color Lic!Lis 'VIN CODES: V-Victim(Denote V2,V3) 0=Owner(if other than victim) R=Reporting Person(if other than victim) O Type: INDIVIDUAL(NOT A LE OFFICER) Injury: T Code Name(Last,First,Middle) Victim of DOB Race Sex Relationship Resident Status Military• H HEWITT, CHARLES JAMES Crime# 02/22/1950 To Offender Branch/Status E OW Age 61 W M Resident R Home Address Home Phone S 2519 Glenwood Dr Edgewater, FL 32141- Employer Name/Address Business Phone Mobile Phone I N Type: Injury: ✓ Code Name(Last,First,Middle) Victim of DOB Race Sex Relationship Resident Status Military O Crime# To Offender Branch/Status L Age ✓ Home Address E Home Phone D Employer Name/Address Business Phone Mobile Phone L=Lost S=Stolen R=Recovered D=Damaged Z=Seized B=Burned C=Counterfeit!Forged F=Found ("OJ"=Recovered for Other Jurisdiction) i1 Code Frtm -ufo Value OJ QTY Property Description Make/Model Serial Number P R 0 P - E R T Y Officer!ID# TARR, JOHN WILLIAM (675) Invest ID# (0) Supervisor HUGGI S, TIMOTHY A (638) Status Complainant Signature Case Status Case Disposition: Page 1 Documentation 03/02/2011 Not Applicable 03;022011 g Printed By:SA,ptubbs Sys#:280115 03/02/2011 07:34:26 • INCIDENT/INVESTIGATION REPORT By:SA,ptubbs 03/02/2011 07:34 Edgewater Police Department Page 2 Case# 1103-0013 Status Codes I =None 2=Burned 3=Counterfeit:Forged 4=Damaged 5=Recovered 6=Seized 7=Stolen 8=Unknown UCR Status Quantity Type Measure Suspected Type Up to 3 types of activity D R • U G S Assisting Officers CONROY, G.T. (624), MUNIZ, L. (677) Suspect Hate/Bias Motivated: , 'one (No bias) NARRATIVE On Wednesday,03-02-2011,I was dispatched to 1401 S Ridgewood Avenue,Time Out Sports Pub,in reference to a business alarm. Dispatch advised that the alarm was to the pool hall area. Upon arrival,the business owner,Charles Hewitt,was on-scene. C. Hewitt unlocked the front door,giving me access to the business. The business was secure,with all doors and windows intact and undisturbed. There were no signs of anything inside causing the alarm to activate. Weather was not a factor in the alarm going off either. The business was secured and the alarm was re-set. There is an expired alarm permit,for the business: Permit#493, expiring 09/2000. I was unable to locate a valid permit. Agency Name INCIDENT/INVESTIGATION Case# - 1102-0077 Edgewater Police Department REPORT Date/Time Reported 1 ORI 02/09/2011 01:30 Wed' N FL0640600 Last Known Secure C Location of Incident Premise Type Zone/Tract 02/09/2011 01:30 Wed I At Found D 1401 S Ridgewood Av, Edgewater FL 32141- Bar/Nightclub/Lounge El 02/09/2011 01:30 Wed, E O>v'E 1 Crime Incident(s) (Com) Weapon/Tools %NOT APPLICABLE - Activity • - A Alarm-Business T Entry 'Exit Security ALB - D Crime Incident ( ) Weapon/Tools I Activity • A #2 T Entry Exit Security A #3 Crime Incident ( ) Weapon!Tools ` Activity Entry Exit Security MO #of Victims I I Type: BUSINESS Injury: Domestic:N Victim/Business Name(Last,First,Middle) Victim of DOB Race Sex Relationship Resident Status Military ✓ VI CHAL'S TIME OUT Crime# To Offender Branch/Status I 1, Age N/A C Home Address Home Phone T 1401 S RIDGEWOOD AV, Edgewater, FL 32141- 386-402-1118 I M Employer Name/Address Business Phone Mobile Phone VYR Make Model Style Color Lic/Lis VIN CODES: V-Victim(Denote V2,V3) 0=Owner(if other than victim) R=Reporting Person(if other than victim) O Type: INDIVIDUAL(NOT A LE OFFICER) Injury: T Code Name(Last.First,Middle) Victim of DOB Race Sex Relationship Resident Status Military H HEWITT, CHALIE JJ Crime# 02/22/1950 To Offender BranchlStatus E OW _ Age 60 W M_ Resident R Home Address Home Phone S 2519 Glenwood Dr Edgewater, FL 32141 386-428-8152 Employer Name/Address Business Phone Mobile Phone 1 Good Time Chalie's, 1401 S Ridgewood Ave#3,edgewater(OWNER) 386-424-1730 386-402-1118 N Type: BUSINESS Injury: ✓ Code Name(Last,First,Middle) Victim of DOB Race Sex Relationship Resident Status Military O ADT.ALARMS Crime# To Offender Branch/Status L R' Age N/A V E Home Address Home Phone D 877-238-7739 Employer Name/Address Business Phone Mobile Phone 877-535-0563 L=Lost S=Stolen R=Recovered D=Damaged Z=Seized B=Burned C=Counterfeit/Forged F=Found ("OJ"=Recovered for Other Jurisdiction) VI Status # Code Frmrro Value OJ QTY Property Description Make/Model Serial Number P _ R 0 P E R T - Y OfficeriID# RODRIGUEZ, LUISA (676) Invest ID# (0) Supervisor HAZELWOOD, ROBERT LEE (628) Status Complainant Signature Case Status Case Disposition: page I Documentation 02;092011 Not Applicable 02/092011 Printed By:LNASTASE,Inastase Sys#:278869 02/10/2011 12:55:2] INCIDENT/INVESTIGATION REPORT By:LNASTASE,lnastase 02/10/2011 12:55 Edgewater Police Department Pa°e 2 Case# 1102-0077 Status 1=None 2=Burned 3=Counterfeit/Forged 4=Damaged 5=Recovered 6=Seized 7=Stolen 8=Unknown Codes UCR Status Quantity Type Measure Suspected Type Up to 3 types of activity • D R U G S Assisting Officers RODRIGUEZ L.A. (676), KAYE, T.A. (667), MILES, M.A. (640) Suspect Hate;Bias Motivated: None(No bias) NARRATIVE On February 9,2011 around 0130 hours, I was dispatched to a business alarm.Operator Camilia,with ADT Alarm Company,advised an alarm was activated at Chal's Time Out, located at 1401 South Ridgewood Avenue. The alarm company advised the main door was the cause of the activation. On arrival, I checked all of the doors and windows of the business.The entire exterior appeared to be secure with no signs of forced entry. I made contact with the owner of Chal's Time Out,Charles James Hewitt. Charles was on scene prior to my arrival and checked the business. Charles advised nothing appeared to be missing or damaged. I located an Edgewater Alarm Permit#0493. A report was completed for documentation purposes. This alarm was not weather related. This alarm was false. Agency Name INCIDENT/INVESTIGATION Case# Edgewater Police Department REPORT 1101-0209 Date i Time Reported I ORI 01/20/2011 02:32 Thu 1 N FL0640600 Last Known Secure C Location of Incident Premise Type Zone/Tract ract 01/20/2011 02:32 Thu I At Found D 1401 S Ridgewood Av, Edgewater FL 32132- Bar/Nightclub/Lounge El 01/20/2011 02:32 Thu • E =1 Crime Incident(s) (Corn) Weapon!Tools NONE/NOT APPLICABLE Activity - . N Alarm-Business T ALB Entry Exit Security D #2 Crime Incident ( ) Weapon!Tools I Activity . A T Entry Exit Security l A _ #3 Crime Incident ( ) Weapon i Tools I Activity Entry Exit Security MO #of Victims 0 Type: Injury: Domestic:N Victim,Business Name(Last,First,Middle) Victim of DOB Race Sex Relationship Resident Status Military V V1 Crime# To Offender Branch/Status I Age THome Address Home Phone I Employer Name/Address Business Phone Mobile Phone M p VYR Make Model Style Color Lic/Lis VIN CODES: V-Victim(Denote V2,V3) 0=Owner(if other than victim) R=Reporting Person(if other than victim) O Type. BUSINESS Injury: T Code Name(Last,First,Middle) Victim of DOB Race Sex Relationship Resident Status Military H ADT ALARMS Crime To Offender DranchiStatus E RP Age N/A R Home Address Home Phone S 877-238-7739 Employer NameiAddress Business Phone Mobile Phone N 877-535-0563 Type. BUSINESS Injury: V Name V Victim of DOB Race Sex Relationship 'Resident Status Military O Code (Last,First Middle) �� TIME OUT SPORTS BAR Crime# To Offender Branch/Status L 10 Age tV/A v E Home Address Home Phone D 1401 S Ridgewood Av Edgewater, FL 32132 386-957-9069 Employer NameiAddress Business Phone Mobile Phone L=Lost S=Stolen R=Recovered D=Damaged Z=Seized B=Burned C=Counterfeit i Forged F=Found ("0J"=Recovered for Other Jurisdiction) If ,Code Status Value OJ QTY Property Description Make/Model Serial Number P R 0 P E R T Y Officer/1D4 RODRIGUEZ, LUIS A (676) Invest IN (0) Supervisor HAZELWOOD, ROBERT LEE (628) Status Complainant Signature Case Status Case Disposition: Paz 1 Documentation 01,20/2011_ Not Applicable 0!%X1,2011 Printed By:LNASTASE,lnastase Sys#:277739 01/20/201 107 5 7:10 INCIDENT/INVESTIGATION REPORT Br:LNASTASE,Inastase 01120/2011 077 Page 2 Edgewater Police Department Cased 1101-0209 Status I =None 2=Burned 3=Counterfeit i Forged 4=Damaged 5=Recovered 6=Seized 7=Stolen 8=Unknown Codes UCR Status Quantity Type Measure Suspected Type Up to 3 types of activity • D R U G S Assisting Officers RODRIGUEZ, L.A. (676), ANDERSON C.A. (671), KAYE, T.A. (667) Suspect Hate;Bias Motivated: None(No bias) NARRATIVE On January 20,2011 at 0232 hours I responded to 1401 South Ridgewood Avenue,the Time Out sports pub, in reference to a business alarm reported by ADT Alarms Operator April. When I arrived no one was on scene at the business. I checked the exterior perimeter of the building and found all doors locked and secure. l observed no activity or suspicious. The weather conditions at the time of the call was clear. I was able to locate a city alarm permit sticker on the business. Permit 4 0493 It appears alarm activation was accidental and likely caused by an employee closing the business for the evening. This report is for documentation only.