Item 4C
AGENDA ITE1~I #4C
JUNE 14, 2004
CITY OF ATLANTIC BEACH
CITY COMMISSION
STAFF REPORT
AGENDA ITEM: Authorize the Mayor to sign the Application for Revenue
Sharing 2004-2005
DATE: May 21, 2004
SUBMITTED BY: Nelson Van Liere, Finance Director
BACKGROUND: The submittal for the Application for Revenue Sharing
2004-2005 State Fiscal Year is required by Sec. 218 of the
Florida Statutes in order to be eligible to participate in
revenue sharing. Section 218 of the Florida Statutes states:
BUDGET:
"It shall be the duty of each agency and unit of local
government required to submit certified information to the
Department pursuant to the administration of this part to
file timely information. Any unit of local government
failing to provide timely information required pursuant to
the administration of this part shall, by such action,
authorize the Department to utilize the best information
available or, if no such information is available, to take any
necessary action, including disqualification, either partial or
entire, and shall further, by such action, waive any right to
challenge the determination of the Department as to its
share, if any, pursuant to the privilege or receiving shared
revenues under this part."
This application certifies that the City has fulfilled certain
administrative requirements set forth in the statutes and
includes signatures of the appropriate officials.
No Impact.
RECOMMENDATION: The staffrecommends that the City Commission authorize
the Mayor to sign the Application for Revenue Sharing for
2004-2005.
ATTACHMENT: Application for Revenue Sharing 2004-2005
Reviewed by the City M~ •• - _
• ,
~l 1!
DEPARTMENT
OF REVENUE
AGENDA ITEM #4C
JUNE 14, 2004
Application For Revenue Sharing 2Q04-2005 State Fiscal Year
(Chapter 218, Part II Florida Statutes)
Application must be received by the Department of Revenue prior to June 30, 2004
Please TYPE or PRINT ail entries except those requiring a signature.
D R-700218
R. 04/04
±~ Part One
Name of County
ea
OR
Name of Municipality City of Atlantic Beach County Duval
Telephone Number ( 904 ) 247-5800
Fax Telephone Number ( 904 ) 247-5877
Mayor or Chairman of Governing Body Mayor John S . Meserve
Fredrik N. Van Liere, Finance Director
Chief Fiscal Officer
Official Mailing Address 800 Seminole Road, Atlantic Beach, Fl. 32233
Check here if the address represents a change from the previous application.
Federal Employer I.D. Number (required for new participants only).
Part Two
~,,, To be eligible to participate in Revenue Sharing beyond the minimum entitlement as defined in s. 218.21(7), F.S., for any
fiscal year, a unit of local government is required to have fulfilled certain requirements set forth in s. 218.23, F.S., including
certification requirements. Signatures by the appropriate official in the signature blocks, where applicable, shall constitute
fulfillment of the certification requirements set forth in s. 218.23, F.S.
Consistent with the requirements of s. 218.23, F.S., has the applicant:
Note: Question 1 and 2 pertain to financial audit requirements. If a financial audit was required, report
on the most recently completed audit period. Fscal year ending 09/30/02 will be sufficient for this
purpose.
1. Reported its finances for its most recently ,completed fiscal year to the Department of Banking and Finance,
pursuant to s. 218.32, F.S.?
® Yes
No
2. Made provisions for annual postaudits of its financial accounts in accordance with s. 11.45, F.S.?
® Yes
a No December 5, 2003
Date of Audit Report
ewe
AGENDA ITEM #4C
JUNE 14, 2004
DR-700218
w R. 04/04
Page 2
3. Levied, as shown on its most recent financial report, pursuant to s. 218.32, F.S., ad valorem taxes, exclusive
of taxes levied for debt service or other special millages authorized by the voters, to produce the revenue
equivalent to a millage rate of three (3) mills on the dollar based on the 1973 taxable values as certified by the
property appraiser, pursuant to s. 193.122(2), F.S.,
® Yes ~ No
OR
In order to produce revenue equivalent to that which would otherwise be produced by such a three (3) mill ad
valorem tax:
(A) to have received a remittance from the county pursuant to s. 125.01(6)(a),F.S.;
(B) collected an occupational license tax;
(C) collected a utility tax;
(D) levied an ad valorem tax;
(E) received revenue from any combination of these four sources?
a Yes
No
4. Certified that:
(A) Law enforcement officers, as defined in s. 943.10(1), F.S., employed by this Unit meet the qualifications for
employment as established by the Criminal Justice Standards and Training Commission?
Yes ~ No
(B) The salary:structure and salary plans for law enforcement officers meet the provisions of Chapter 943,
F.S.?
~`" ~ Yes ~ No
(C) All law enforcement officers, as defined in s. 943.10(1), F.S., are compensated at an annual salary rate of
~• six thousand dollars ($6,000) or more?
® Yes a No
[If the answer to (C) above is (NO), please state in an addendum to this application any reason you may
have for waiver of such requirement (one of which must be that you are levying ten (10) mills of ad
valorem taxes).)
Signed: Dater ~
Appropriate Law Enforcem nt Officer
[If you have no police department, etc., please check the block to the left side.]
AGENDA ITEM #4C
JUNE 14, 2004
DR-700218
w R. 04/04
Page 3
5. Certified that persons in its employ as firefighters, as defined in s. 633.30(1), F.S., meet the qualification for
employment as established by the Division of State Fire Marshal pursuant to the provisions of ss. 633.34 and
633.35, F.S., and that the provisions of s. 633.382, F.S. are met?
0 Yes ~ No
Additionally, please answer the following:
!~'" (A) Does the addressed unit of government employ any full-time firefighters which currently possess either a
bachelor's degree or associate degree from a college or university which is applicable to fire department
duties, provided that degree is not required for their current position?
a Yes
No
(B) If so, are these firefighters currently receiving supplemental compensation for those degrees?
Yes
No
Does Not Apply
Signed: Date:
Appropriate Fire Official
® [If you have no fire department or if you have a strictly volunteer fire department, etc., please check the box to the
left side.]
6. Certified that each dependent special district that is budgeted separately from the general budget of the local
governing authority has met the provisions for annual postaudit of its financial accounts in accordance with
the provisions of s. 218.39(1), F.S.?
0 Yes ~ No ®Does Not Apply
Signed: L%~ ~~ ~C~r~f Date: ~'"~o
Chief Fiscal Official
7. Certified to the Department of Revenue that the requirements of s. 200.065, F.S., if applicable, were met?
(The certification shall be made annually within 30 days of adoption of an ordinance or resolution establishing
a final property tax levy or, if no property tax is levied, not later than November 1. The portion of revenue
sharing funds which, pursuant to this part, ,would otherwise be distributed to a unit of local govemment which
has not certified compliance or has otherwise failed to meet the requirements of s. 200.065, F.S., shall be
deposited in the General Revenue Fund for the 12 months following a determination of noncompliance by the
department.)
Signed: `"~~ ~~.-. ~u~c.i Date: S o2p/ ~ Y
Chief Fiscal Official
AGENDA ITEM #4C
JUNE 14, 2004
DR-700218
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Page 4 ,
Part Three
I hereby certify that all of the foregoing information is accurate and true to the best of my knowledge. I further certify that I
will promptly report to the Department of Revenue any changes in the above information. I also realize that failure to
provide timely information required, pursuant to the administration of this Act shall, by such action, authorize the
Department to utilize the best information available or, if no such information is available, to take necessary action
including DISQUALIFICATION, EITHER PARTIAL OR ENTIRE, and shall further, by such action, waive any right to
challenge the determination of the Department to its share of funds, if any, beyond its minimum entitlement, pursuant to
the privilege of receiving shared revenues from the Revenue Sharing Trust Funds.
Do you believe that you have complied with ALL eligibility requirements as set forth above?
® Yes
If the answer to the above question is (NO), please provide as an attachment to this form the amount of revenue
necessary to meet your obligations as a result of pledges or assignments or trusts entered into which obligated funds
received from revenue sharing.
No
Signed: ~~ ~~. ~~~ Date: ~ ao~~
Chief Fiscal Official
Signed
Mayor or Chairman of Governing Body
Date:
Mail completed original application to address shown below.
_ FLORIDA DEPARTMENT OF REVENUE
~ REVENUE ACCOUNTING SUBPROCESS
PO BOX 6609
TALLAHASSEE FL 32399-6609
~.