Exh 8EAGENDA ITEM #8E
MAY 27, 2003
CITY OF ATLANTIC BEACH
CITY COMMISSION
STAFF REPORT
AGENDA ITEM: Authorize the Mayor to sign the Application for Revenue
Sharing 2003-2004
DATE: May 16, 2003
SUBMITTED BY: Nelson Van Liere, Finance Director
BACKGROUND: The submittal for the Application for Revenue Sharing
2003-2004 State Fiscal Year is required by Sec. 218 of the
Florida Statutes in order to be eligible to .participate in
revenue sharing. This application certifies that the City has
fulfilled certain administrative requirements set forth in the
statutes and includes the signatures of the appropriate
officials.
BUDGET:
No impact.
RECOMMENDATION: The staff recommends that the City Commission authorize
the Mayor to sign the Application for Revenue Sharing for
2003-2004.
ATTACHMENT: Application for Revenue Sharing 2003-2004
Reviewed by the Ci
AGENDA ITEM #8E
MAY 27, 2003
~ ~
DEPARTMENT
OF REVENUE
Application For Revenue Sharing 2003-2004 State Fiscal Year
(Chapter 218, Part I1 Florida Statutes)
Application must be received by the Department of Revenue prior to June 30, 2003
Please TYPE or PRINT all entries except those requiring a signature.
DR-700218
R. 05/03
Part One
Name of County
OR
Name of Municipality City of Atlantic Beach
Telephone Number. ( 904 ) .247-5800
Fax Telephone Number ( 904 )
Mayor or Chairman of Governing Body
Chief Fiscal Officer Fredrik N.
247-5877
John S. Meserve
Van Liere, Finance Director
County Duval
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. Fiscal year ending 09/30/01 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
a No
2. Made provisions for annual postaudits of its financial accounts in accordance with s. 11.45, F.S.?
® Yes
0 No 11/20/02 for
Date of Audit Report
fiscal year ending
9/30/02
AGENDA ITEM #8E
MAY 27, 2003
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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
4. Certified that:
No
(A) Law enforcement officers, as defined in s. 943.10(1), F.S., employed by this Unit meet the qualifications far
employment as established by the Criminal Justice Standards and Training Commission?
® Yes
a No
~B) The salary structure and salary plans for law enforcement officers meet the provisions of Chapter 943,
F.S.?
® Yes
Na
(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 ~ No
[lf 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: Date: S l ~ ~
Appropriate Law Enforcemen Officer
[lf you have no police department, etc., please check the block to the left side.]
AGENDA ITEM #8E
MAY 27, 2003
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R. 05/03
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?
Yes 0 No
Additionally, please answer the following:
(A) Does the addressed unit of govemment 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
a No
(B) If so, are these firefighters currently receiving supplemental compensation for those degrees?
Yes
Signed:
Appropriate Fire Official
Date:
Does Not Apply
® [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 focal
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.?
Yes
No
® Does Not Apply
`Signed: ~~ Date: ~S~/3
Chief Fscal 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: Date: .3`~ c
Chie iscalOfficiai
No
AGENDA ITEM #8E
MAY 27, 2003
DR-700218
R. 05!03
Page 4 i
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 DISG~UALIFICATION, 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
a No
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.
Signed:
Fscal Official
Signed:
Mayor or Chairman of Governing Body
Date: ~ ~S ~
Date:
Mail completed original application to address shown below.
DEPARTMENT OF REVENUE
REVENUE ACCOUNTING SUBPROCESS
PO BOX 6609
TALLAHASSEE FL 32399-6609