Backup Documents 06/10/2014 Item #16D4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGN A �J �}
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. Jeff Klatzkow County Attorney Office �Y0b
\INJ//) lokko\t�
4. BCC Office Board of County bL
Commissioners \A\i/S/ b'lok(A
5. Minutes and Records Clerk of Court's Office I D '4
CAT 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 additional or missing information.
Name of Primary Staff Natali Betar,cur Phone Number 239-252 059
Contact/ Department
Agenda Date Item was 06/10/14 \ Agenda Item Number 16D4
Approved by the BCC
Type of Document Report/Invoice Number of Original 1
Attached Documents Attached
PO number or account
to number
recorded if o document is l t- `' —.
to be recorded R -�-
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
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.
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 NB
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
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 I1/12/13and all changes made during the NB
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 theme
BCC,all changes directed by the BCC have been made,and the document is ready for \ �c
Chairman's signature. v 1`t- +m
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
16D4
MEMORANDUM
Date: June 10, 2014
To: Natali Betancur, Operations Analyst
Collier County Park & Recreation Department
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: FDEP 2014/15 Submerged Lands Lease Invoice and 2013/14 Wetslip
Revenue Report and Certification for the Goodland Boat Park
Attached for your records is a copy of the document referenced above, (Item #16D4)
approved by the Board of County Commissioners on Tuesday, June 10, 2014.
The Wetslip Revenue Report, with the Chairman's original (notarized) signature,
was sent to Florida Department of Environmental Protection Division of State Lands,
Bureau and Public Land Administration. Invoice #76702 for lease fees involved, has
been presented to the Finance Department so they can provide the State payment.
If you have any questions, please contact me at 252-8406.
Thank you.
Attachment
Co untyof Collier 1604
CLERK OF THE CJRCIT COURT
COLLIER COUNTYOURTIOUSE
3315 TAMIAMI TRL E STE 102 Dwight E.Brock-dkerk of Circuit Court P.O.BOX 413044
NAPLES,FL 34112-5324 NAPLES,FL 34101-3044
Clerk of Courts • Comptroller • Auditor ustgdian of County Funds
June 11, 2014
Florida Department of Environmental Protection
Division of State Lands, Bureau and
Public Land Administration
Post Office Box 3070
Tallahassee, FL 32315-3070
Dear Sir:
Enclosed is the 2013/2014 Annual Revenue Report and Certification to report on
the income generated from the rental of wet-slips on the State-owned submerged
lands that are located at the Goodland Boating Park, Ramp and Docking Facility
in Collier County, Florida.
I included a copy of the Bureau's correspondence dated April 15, 2014, for reference
that was sent with the reporting package and Collier County Lease Fee Invoice #76702.
The Collier County Clerk of Court's Finance Department has been provided this
information to facilitate prompt payment.
If you have any questions, please feel free to contact our office at (239 252-8406.
Thank you.
DWIGHT E. BROCK, CLERK
Ann Jennejohn,
Deputy Clerk
Enclosure
Phone- (239) 252-2646 Fax- (239) 252-2755
Website- www.CollierClerk.com Email- CollierClerk @collierclerk.com
1604
40 RICK SCOTT
FLORIDA DEPARTMENT OF GOVERNOR
ENVIRONMENTAL PROTECTION CARLOS LOPEZ-CANTERA
*1° t l 'e, r' LT.GOVERNOR
MARJORY STONEMAN DOUGLAS BUILDING
x 3900 COMMONWEALTH BOULEVARD HERSCHEL T.ViNYARD JR.
VEMONEMEW TALLAHASSEE,FLORIDA 32399-3000
SECRETARY
April 15, 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 Alicia Ruffin,and for
questions regarding the enclosed wet slip revenue reporting package please contact Starla
Wagner at(850) 245-2555.
Bureau of Public Land Administration
Division of State Lands
Enclosures
www.dep.statefl.us
16114
DEPARTMENT OF ENVIRONMENTAL PROTECTION �Qppp/y
RECEIPTS SECTION
POST OFFICE BOX 3070 �`4
TALLAHASSEE, FL 32315-3070
r
Bill To: VONMEMEIM
COLLIER COUNTY, FLORIDA
15000 LIVINGSTONE ROAD INVOICE
NAPLES, FL 34109
** INVOICE/INSTRUMENT INFORMATION **
Invoice#: 76702 Instrument#: 110028165
Invoice Date: 04/15/2014 Expiration Date: 05/05/2015
Due Date: 05/15/2014 Extended Term Fee: NO
Rate: AQUATIC PRESERVE RATE
Location: GOODLAND BOATING PARK, RAMP AND DOCKING
** 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
Net Extended
Description Memo Object Square Rate Discount Term Fee *Amount
Feet
ANNUAL LEASE BOAT SLIP RENTAL 021017 47,753 0.332938 300/0 Y $11,129.15
FEE 2014/2015 DISCOUNT APPLIED
Subtotal $11,129.15
Sales Tax(0.0%) $0.00
County Tax(0%) $0.00
Note:PLEASE COMPLETE THE ENCLOSED INCOME REPORTING FORMS Total $11,129.15
AND RETURN WITH YOUR REMITTANCE
Invoice
Balance Due $11,129.15
Instrument/Lease $11,129.15
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)245-2555.
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1604
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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)245-2555
1604
2013/2014 Wetslip Information Form
Lessee: oU(_[( r In Instrument No: I 00 7S L L75
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. O
These slips should be Non revenue generating slips.
2. Number of Transient Slips- Slips that are rented on a short term basis. 0
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 Z c
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 a
number, the slip number, and the amount of the transaction.
6. Number of Private Slips, not rented to the public-Slips used for
personal mooring, Association common area, etc.
Total Number of Slips on State-Owned Lands,Add lines I through 6 z8
Is your facility a Pier with Admission Fees? YES NO
Circle 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: 0
2. Number of Public Slips -open to the public on a"first come, first D
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 0
16D4
2013/2014 GROSS INCOME REPORTING FORM
Lessee: 601 jay' 69ttr,-kf Instrument#: E l oo Zg I (0 5
Direct Income Indirect Income
All income received directly by Lessee from All income received by someone
transactions within the lease boundary. * other than the Lessee for
transactions involving the use of
state-owned submerged land
May 2013 $ j Z.,L4 L, $ aqcl c .-
June 2013 $ -1,Q4 $ 168. 6t(o
July 2013 $ Z Q, ZIF $ 45. 10
August 2013 $ 00 $ 8 ,4. 00
September 2013 4--.00 $ ?J 3(o 00
October 2013 $ 4-,00 $ (e).CO
November 2013 $ .O $ Z( 7,2-0
December 2013 $ 30.40 $ 12.9 . Coo
January 2014 $ Z 3.61 2 $ 6-74. 08
February 2014 $ 30. 61 $ -7 3Z. 09
March 2014 $ CJ�- ( Q( $ ( 348 ,4
April 2014 $ G. *3 $ 130. Z'q-
TOTALS $ Z' , z 4 $ S g
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 sublessee's,slip"sellers",slip interest transfers,new club
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)245-2555
1604
CERTIFICATION
Instrument No. l I ooze Co( 5
Lessee Name: (D l l(� COL,M, 4 'Pt oV(Act
Billing Address 1 5000 L(v i( 4-4-vrti Rd •
City/State/Zip 1\ a Fi lie lj ( -F`. t D
Telephone: (Z3' 1 ) ZS Z- - 4voo
(Please provide area code)
((
Facility Address: �o Pi Ern P- -• P((ve,
City/County/Zip: 6OOA Ia n d ( -F�
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; . d (4) I a• iaware that any intentional false statement herein will
be grounds for cancellation of the s; ereign bmerged lands lease.
I' %itra■
Signature .f essee
• ■en s•
Printed Name of S"! ature ATTEST:'
DWIGHT E.BROCK CLERK
Title • • �.`
Date • Attest as to ►: ,r
STATE OF F\a�-\da signature poi ,��etn# ,LO`C
COUNTY OF C\\\e ar- Agenda (01014
Date t 7
Sworn to or affirmed and subscribed before me the 10\\,, day of " -Ls r em ,20 \A ,
Date (OD
by �ot-� ,Cst,r`vvq Recd itt
Personally Known 146(c
uK rroaucea taenmtcanon "' � e: v NIAJI.MEET
if 4,4t, Notary Public•State of Kora
Type of identificaiton produce, _ ''• • My Comm. Expires Jun 23,20 7
1 / ' , Commission Ar FF 11$3$
�� ( '" ,°;��.... Bonded Through National Notary bin. I
Notary Signature _✓
Commission Expires b,Z- `zc v-i, Approv• a as to form aid legaity
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Assistant CountfAttorney