Exh 8CAGENDA ITEM #8C
MAY 29, 2001
May 29, 2001
CITY OF ATLANTIC BEACH
CITY COMMISSION MEETING
STAFF REPORT
AGENDA ITEM: Authorize the Mayor to sign the Application for Revenue
Sharing 2001-2002.
SUBMITTED BY: Nelson Van Liere, Finance Director
DATE: May 21, 2001
BACKGROUND: The submittal of the application for Revenue Shazing 2001-
2002 State Fiscal Yeaz is required by Section 218 of the _
Florida Statutes in order to be eligible to pazticipate in-
revenue sharing. This application certifies that the City has
.fulfilled certain requirements set forth in the statutes and
includes the signatures of the appropriate officials.
BUDGET: No budget impact.
RECOMMENDATION: The City Commission authorize the Mayor to sign the
Application for Revenue Sharing for 2001-2002.
ATTACHMENT: Application for Revenue Sharing 2001-2002
Reviewed by the City Manager: 7_ _
~'~
AGENDA ITEM #8C
MAY 29, 2001
4
• ^ '
DEPARTMENT
Of REVENUE
Application For Revenue Sharing 2001-2002 State Fiscal Year
(Chapter 218, Part 11 Florida Statutes)
Application must be received by the Department of Revenue
prior to .tune 30 preceding the beginning of the state fiscal year 2001-2002
Please TYPE or PRINT all entries except those requiring a signature.
DR-700216
R, 04/01
Part One
Name of County
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
Chief Fiscal Officer Fredrik N. Van Liere, Finance Director
Official Mailing Address 800 Seminole Road, Atlantic Beach, FL 32233
O Check here if the address represents a change from the previous application.
Federal Employer I.D. Number
(required for new participants only).
Pa rt 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. 2t 8.23, F.S.
Consistent with the requirements of s. 218.23, F.S., has the applicant:
Note: If a financial audit was required, report on the most recently completed audit period. Fiscal year
ending 09/30/99 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.?
a Yes
No November 17, 2000
Date or Audit Report
AGENDA ITEM #8C
MAY 29, 2001
R. Oa/0~
Page 2
OR,
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.,
0 Yes
No
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(8)(a),FS.;
(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?
Yes
a No
4. Certified that:
(A) Law enforcement officers, as defined in s. 943.10(1), F.S., employed by this Unit meet the qual'rfications 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
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: ~ Date: S~/=`/~
Appropna[e Law nforc nt Officer
[If you have no police department, etc., please check the block to the left side.j
AGENDA ITEM #SC
MAY 29, 2001
R. Oa/0i
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 ~ 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?
Yes
No
(B) If so, are these firefighters currently receiving supplemental compensation for those degrees?
Yes
Signed:
Appropriate Fire Official
No ~ Does Not Apply
Date:
[If you have no fire department or if you have a strictly volunteer fire department, etc., please check the box to the
felt 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. 11.45(3), F.S.?
0 Yes ~ No ~ Does Not Apply
Signed: ~y~ ~ ~~-/ Date: S' Q/ c
Chiet Fiscal Official
Certified to the Department of Revenue That the requirements of s. 200.065, F.S., if applicable, were met?
(fhe 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 wfiich, pursuant to this part, would othervvise be distributed to a unit of local government 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: ~~ ~~~-r ~~c;:-c..f Date: 3~//c/
Chief Fiscal Official
AGENDA LTEM #8C
MAY 29, 2001
a. oaio
Page a
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 infiormation. I also realize that failure to
provide timely information required, pursuant to the administration of this Act shalt, 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
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: -~`/. G ~,
Chief Fiscal 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-fi609