Loading...
Backup Documents 04/22/2014 Item #16D 8 ORIGINAL DOCUMENTS CHECKLIST & ROUTING S � TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 08 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. 2. 3. Jennifer Belpedio County Attorney Office < b Ar\ .4 114'' 4. BCC Office Board of County ilk Commissioners \114-7y 4 z 5. Minutes and Records Clerk of Court's Office (4 1 PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additio al or missing information. Name of Primary Staff Natali Be,. cur i �V.:s 8`' Phone Number 239-252-4059 Contact/ Department Agenda Date Item w.s 04/22/14 ■ Agenda Item Number 16D8 Approved by the BC Type of Document Invoice Number of Original 1 S �A- Attached 1 Documents Attached PO number or account l--,���.. �°k��e-_ number if document is ESL-A c\. ∎\.\,\reat�rc-1<c,"C-'�jt'W � c�"�-�-� to be recorded / - INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? NB v- 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A �� provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 5 ee. .� 3. Original document has been signed/initialed for legal sufficiency. (All documents to be NB signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A ✓ Office and all other parties except the BCC Chairman and the Clerk to the Board / 5. The Chairman's signature line date has been entered as the date of BCC approval of the NB ✓ document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's NB ✓ signature and initials are required. , / 7. In most cases(some contracts are an exception),the original document and this routing slip NB V should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on 04/22/14 and all changes made during NB the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the NB 37.•' BCC,all changes directed by the BCC have been made,and the document is ready for e d- Chairman's signature. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 1608 MEMORANDUM Date: April 28, 2014 To: Natali Betancur, Operations Analyst Park & Rec's Beach From: Ann Jennejohn, Deputy Clerk Minutes & Records Department Re: FDEP 2014/15 Invoice for Lease Fees and the Annual Wetslip Revenue Report for use of submerged lands at Caxambas Park Attached for further processing is the original document referenced above, (Item #16D8) approved by the Board of County Commissioners on April 22, 2014. A copy will be held in the Minutes and Records Department for the Official Record. If you have any questions, please contact me at 252-8406. Thank you. Attachment /2014 16.D.8. "loam FLORIDA DEPARTMENT OF St ENVIRONMENTAL PROTECTION FLOR 0 A MARJORY STONEMAN DOUGLAS BUILDING I `'{'` I<`,`ill 3900 COMMONWEALTH BOULEVARD 1'ALL.AHASSEE,FLORIDA 32399-3000 i1I.S(.11i'i I VI,N') ARI)!P •;1� !U r vi(ti March 14, 2014 Subject: 2014/2015 Sovereignty Submerged Lands Annual Lease Fee and Wet Slip Revenue Reporting Dear Sir or Madam: Enclosed you will find your 2014/2015 annual lease fee invoice and wet slip revenue reporting package for your sovereignty submerged lands lease with the Board of Trustees of the Internal Improvement Trust Fund of the State of Florida. As Lessee, you are required to submit your annual lease fee and provide wet slip rental and income information annually based on the previous year's income to the Department of Environmental Protection's Division of State Lands, as agent for the Lessor. Any reporting forms due from previous years are also included and need to be completed. You will receive a supplemental invoice if any additional fees are due based on the wet slip rental information you submit. Please complete the enclosed forms, providing accurate and legible information, and return them along with your annual payment within 30 days of the invoice date to the following address: Florida Department of Environmental Protection Division of State Lands, Bureau of Public Land Administration Post Office Box 3070 Tallahassee, FL 32315-3070 All fees must be received in full within 30 days of the invoice date or a twelve percent(12%) late fee will be assessed pursuant to section 4 of your lease agreement. Any partial payment received will be returned unless previously approved. If you have any questions regarding invoice payments, please contact M,a 64m4Iuus4i or Alicia Ruffin, and for questions regarding the enclosed wet slip revenue reporting package, please contact Dana Marcum or Starla Wagner at (850)245-2720. Bureau of Public Land Administration Division of State Lands Enclosures • Packet Page -862- 16D8 DEPARTMENT OF ENVIRONMENTAL PROTECTION 40010 00114 RECEIPTS SECTION POST OFFICE BOX 3070 TALLAHASSEE, FL 32315-3070 Bill To: COLLIER COUNTY, FLORIDA C/O RAYMOND CARTER INVOICE 3300 SANTA BARBARA BLVD. NAPLES, FL 34116 ** INVOICE/INSTRUMENT INFORMATION ** Invoice#: 76356 Instrument#: 110534215 Invoice Date: 03/14/2014 Expiration Date: 04/06/2018 Due Date: 04/13/2014 Extended Term Fee: NO Rate: BASE RATE Location: CAXAMBAS PARK ** IMPORTANT REMINDERS ** If paying by mail, please return invoice with your payment to the above address. Online payment by check, credit card or debit card is available at http://www.fldepportal.com/go/pay-invoices/. Late payments are subject to a 12% Interest fee pursuant to FAC 18-21.011(1)(b)11. INFORMATION ANNUAL LEASE FEE DATA Description Memo Object Feet Net Square Rate Discount Term Fee Extended *Amount ANNUAL LEASE FEE 021017 10,754 0.166469 N/A Y $1,790.21 2014/2015 Subtotal $1,790.21 Sales Tax(0.0%) $0.00 County Tax(0%) $0.00 Note: PLEASE COMPLETE THE ENCLOSED INCOME REPORTING FORMS Total $1,790.21 AND RETURN WITH YOUR REMITTANCE Invoice $1,790.21 Balance Due Instrument/Lease Balance Due ...................................... ANNUAL LEASE FEE FORMULA = BASE FEE* - DISCOUNT + EXTENDED TERM FEE *BASE FEE=Base Rate x Net Square Feet OR *BASE FEE=Minimum Rate DISCOUNT=Base Fee x Discount Percentage EXTENDED TERM FEE=Base Fee x Extended Term Fee Percentage For any questions concerning this invoice,please call the Division of State Lands at(850) 245-2720. ��,Qao�cnoni 161118 SOVEREIGNTY SUBMERGED LANDS LEASE ANNUAL WETSLIP REVENUE REPORT As a submerged lands lessee,you are required to report annually to the Division of State Lands all income derived directly or indirectly from the lease area,to report the number and type of wet slips and to certify that all information provided is correct. This includes reporting any income collected by you or someone else. The three attached forms must be completed and returned by all lessees. Directions for completing forms WET SLIP INFORMATION FORM-This form is for reporting the number and type of wet slips. Please enter the correct number of each type of wet slip at the lease facility and total. GROSS INCOME REPORTING FORM-This form is for reporting direct and indirect income that has been generated within the lease boundary during the timeframe specified. This is required under the terms of your lease and under subsection 18-21.011(1)(a)2. Florida Administrative Code. Please enter the amount of both direct and indirect income generated by month within the lease boundary. The definition of income can be found at the bottom of the form. CERTIFICATION FORM-This form is the lessee's confirmation that all information provided is true and correct. This form must be notarized. General Lease Fee Information Income is defined in Rule 18-21.003, Florida Administrative Code, as the gross revenue derived directly or indirectly from the use of state-owned submerged lands such as slip rental, lease or sublease fees,dock or pier admission fees,club membership, stock ownership or equity interest in activities where increased revenue is attributable to the use of the submerged land. However,gross revenue shall not include pass-through fees for utility services,sale of the facility or sales of products not occurring on sovereignty submerged lands. Gross revenue shall include all future payments made for the transfer of the interest in a slip originally obtained from the Board's lessee, including transfer of slip rights by slip sublessee, slip "sellers",slip interest transfers, new club memberships, and other similar transactions. If you are required to pay 6%of the income generated on the lease area,you will receive a supplemental invoice which will include State and County Tax on any additional fees owed. To view Chapter 18-21 Florida Administrative Code,on Sovereignty Submerged Lands Management in its entirety go to: http://www.flrules.org/gateway/ChapterHome.asp?Chapter=18-21 FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF STATE LANDS 3900 COMMONWEALTH BOULEVARD, MS 100 TALLAHASSEE, FLORIDA 32399-3000 (850) 245-2720 1608 2013/2014 Wetslip information Form Lessee: (6(1ja' (cm n-I-( Instrument No: L i Q�j ?!-[Z[ J 1 I. INFORMATION ON WETSLIPS LOCATED ON STATE-OWNED LANDS 1. Number of Temporary Slips -Slips that are not rented and are used as fuel docking, launching or removing boats, restaurants, or store purchases. These slips should be Non revenue generating slips. Z- 2. Number of Transient Slips-Slips that are rented on a short term basis. 3. Number of Public Slips -open to the public on a"first come,first served" basis. - Rental term shall be no longer than one year and with no O automatic renewal rights or conditions. 4. Number of Slips Not Usable -Slips that are silted in or are in low water. 5. Number of Slips Sold, Subleased, Licensed, Assigned, etc. -Attach a copy of the document which represents the sale, sublease, license or assignment. The document should include the sublessee's name, unit O number, the slip number, and the amount of the transaction. 6. Number of Private Slips, not rented to the public-Slips used for tea, personal mooring, Association common area, etc. V Total Number of Slips on State-Owned Lands,Add lines 1 through 6 Is your facility a Pier with Admission Fees? YES NO Circ e One Boating has a tremendous economic impact on the State of Florida each year. In an effort to learn if boaters have an adequate number of slips around the state, we are requesting information on wetslips that are not within a state-owned submerged land lease. No income generated from these slips is to be reported. II. INFORMATION ON WETSLIPS LOCATED ON PRIVATELY-OWNED LAND 1. Number of Slips Sold, Subleased, Licensed, Assigned, etc: 2. Number of Public Slips -open to the public on a "first come,first served" basis. 3. Number of Private Slips, not rented to the public-Slips used for personal mooring, Association common area, etc. Total Number of Slips on Privately-Owned Lands,Add lines 1 through 3 16 D8 2013/2014 GROSS INCOME REPORTING FORM Lessee: Cpl(� t n Instrument #: ( O'S 31_I Z 15 Direct Income Indirect Income All income received directly by Lessee from All income received by someone other than transactions within the lease boundary. * the Lessee for transactions involving the use of state-owned submerged land within the Lessee's lease boundary. April 2013 $ d $ 0 May 2013 $ $ 0 June 2013 $ Q $ d July 2013 $ © $ August 2013 $ D $ Q September 2013 $ Q $ Q October 2013 $ $ November 2013 $ © $ December 2013 $ Q $ January 2014 $ Q $ February 2014 $ 0 $ Q March 2014 $ 0 $ TOTALS $ a $ y Every month must be filled out even if income for the month is zero. "Enter Zero if slips are non-revenue generating or generated$0.00" * Income is defined in chapter 18-21.003,Florida Administrative Code,as the gross revenue derived directly or indirectly from the use of state-owned submerged lands such as slip rental,lease or sublease fees,dock or pier admission fees,club membership,stock ownership or equity interest in activities where increased revenue is attributable to the use of the submerged land. However,gross revenue shall not include pass-through fees such as fees for utility services,sale of the facility or sales of products not occurring on sovereignty submerged lands. Gross revenue shall include all future payments made for the transfer of the interest in a slip originally obtained from the Board's lessee,including transfer of slip rights by slip CuhIPCCPP'C.Clin"sellers".Clin interest transfers. new club memberchinc.and other similar transactions. PLEASE ATTACH A LIST OF ANY SLIP TRANSFERS AS DEFINED ABOVE INCLUDING THE SLIP NUMBER, AMOUNT OF INCOME RECEIVED,SUBLESSEE'S NAME AND UNIT NUMBER, IF APPLICABLE. FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF STATE LANDS 3900 COMMONWEALTH BOULEVARD, MS#100 TALLAHASSEE, FLORIDA 32399-3000 (850)245-2720 16138 CERTIFICATION Instrument No. 0 S 34 Z Lessee Name: (r) 1 her Gelb( r\-1--f -c Billing Address 1.6000 L,IV( 110 rft (t R . City/State/Zip a f4 & I FL-, 341 cog Telephone: (n9 ) ( Z (Please provide area code) Facility Address: C10 9( Co t l i e.( (ou r-1- City/County/Zip: Mara' .1 l ar 1 FL • 31-[(49 I, being first duly sworn, hereby certify under penalty of perjury that the following statements are true: (1)To the best of my knowledge and belief,the information contained on the Wetslip Information Form and the Gross Income Reporting Form is true and correct; (2) I have read and understand the terms and conditions of the sovereignty submerged lands lease, and the facility is in full compliance with all the terms and conditions of the sovereignty submerged lands lease; (3) I am authorized to execute this certification on behalf of the lessee; and (4) I am aware that any intentional false statement herein will be grounds for cancellation of the sovereignty submerged lands lease. i/ Signatur;1of Lessee TOM Nenn�n Printed Name oignature Cnciir man Title laa,■4 Date STATE OF F`ov- Q COUNTY OF Cam\.\\Lr Sworn to or affirmed and subscribed before me the .- ' \-. day of d\ , 20 \l'Ic , by `ro`r•'• \-\CNvr\.�YtG\ Personally Known V •�" VMBiNiA A NEET� • �� ' SI�Mm�►uMic-Shia of Florida UR Produced Identification a M,+ My Comm.�ss Jon 23.2017 "K ,; Commission$FF 11530 Type of identificaiton produ d idThroe.Worn.NaryAun Notary Signature • ZA WM' . Approved as to form and legality ty Commission Expires lAZ3\v \. ': - Assistant County A tikey £ 'i BHT E. B ROCK, Clark y: 1'..r 4°.(- es as 'it:I'fit