Exh 4CL
~G
~-/0-9'9
800 SE~SINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
TELEPHO\E (904- 247-5800
FAX (904) 247-5805
SUNCO~t 852-5800
MEMORANDUM
Date: Apri130, 1999
To: David Thompson, Interim City Manager
From: Nelson Van Liere, Finance Director ~_
Subject: State Revenue Sharing Application for Fiscal Year 1999-2000
Enclosed is the State Revenue Sharing application for fiscal year 1999-2000. The City is required
to file an application in order to be considered for any funds to be distributed under the Revenue
Sharing Act. These revenue distributions forthe City ofAtlantic Beach include Sales Tax, Gas Tax,
Cigarette Tax and Motor Fuel Tax Rebate. These taxes represent $1,414,451 or 25.0% of the total
General fund budget and $415,000 in budgeted Gas Taxes for street related expenditures. The
deadline for this application is June 30,1999.
Section 218.26(4), Florida Statutes, states the following:
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 act to file timely
information. Any unit ofgovernment failing to provide timely information required pursuant
to the administration ofthis part shall, by such action, authorize the department to utilize the
best information available or, if no such information is available, to take the 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 of receiving shared revenue under this part.
Recommendation:
As indicated on the application, it must be signed by the Mayor or Chairman ofthe Governing Body.
I recommend that the Commission approve the Mayor to sign the application as required to assure
that the City will benefit from the state shared revenues in the upcoming year.
~' ~
~~' s/v~
Florida Department of Revenue oR-7oo2,s
~ L~_ "~' R. 03/99
r `;
. ~_?; Application For Revenue Sharing '1999-2000 State Fiscal Year
" % (Chapter 218, Part 11 Florida Statutes)
~ } Application must be received by the Department of Revenue
prior to June 30 preceding the beginning of the state fiscal year 1999-2000
Please TYPE or PRINT all entries except those requiring a signature.
Part One
Name of County .
OR
Name of Municipality
Telephone Number
City of Atlantic Beach County
Duval
,(904 } 247-5800
Fax Telephone Number ,{ 904 1 247-5877
Mayor or Chairman of Governing Body Mayor Suzanne Shaughnessy
Chief Fiscal Officer Fredrik N. Van Liere, Finance Director
Official Ma'tlingAddress 800 Seminole Road, Atlantic Beach, FL 32233
Check here if the address represents a change from the previous application.
Federal Employer 1.D. Number
Part Two
(required for new participants only).
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 ins. 218.23, F.S., including
certification requirements. Signatures by the appropriate official in the signature blocks, where applicable, shall constitute
fu}fillment of the certification requirements set forth in s. 2i 8.23, F S.
Consistent with the requirements of s. 218.23, F.S., has the applicant:
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 0 No Q
2. Made provisions for annual postaudits of its financial accounts in accordance with s. 11.45, F.S.?
Yes 0 No ~ December 11, 1998
Date of Audit Report
,...
DR-7oo2t 8
R. 03/99
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 Q 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?
Yes 0 IVo ^
4. Certified that:
(A) Law enforcement officers, as defined ins. 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 ins. 943.10(1), F.S., are compensated at an annual
salary rate of six thousand dollars (S6,000) 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:. ~~/ ~h'9
Appropriate Law Enforcement Officer
^ [If you have no police department, etc., please check the block to the left side.]
DR 700218
• ~ R. 03199
' 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 Q No 0
Additionally, please answerthe 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?
Yes 0 No
(B) If so, are these firefighters currently receiving supplemental compensation for those degrees?
Yes Q No 0 Does Not Apply Q
Signed: Date:~~g
Appropriate Fire Official
Q jlf you have no fire department or if you have a strictly volunteer fire department, etc., please check the
box to the left side.]
6. Certirfied 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
Yes Q No 0 Does Not Apply QX
Signed: `-~L~-«.-._. ~ ~ _ ~c~ ; Date• ~' ~7~
• (Chief Fiscal Officer)
7. Certified to the Department of Revenue that the requirements of s. 200.065, F.S., 'rf 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, ff 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 cert'rfied 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 ~~~. Date: 7/~ I/J` ~7
(Chief Fiscal Officer) -~
,j
DR-70021 e
R. 03/99
Page 4
^Part Three
t .iereby cert'rfy 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, 'rf no such information is available, to take necessary action
including DISQUALIF1CATlON, 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 answerto 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: ~' ~ Date: y Z f ~
(Chief Fiscal icer)
l
Signed:
Date:
(Mayor or Chairman of Governing Body)
- _ Mail completed original application to address shown below.
Department of Revenue
Revenue Accounting Section
P.O. Box 6609
Tallahassee, Florida 32399-6609