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Fort Walton Beach Ordinance — 2034--EDATE American Elite PPE- Project PPE — reading text
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remodeling of facility; upgrading, replacing, or buying new equipment.):
Construction/ Renovations: $ 50, 000 in 2020
Possible building purchase in 2021, $ 850, 000
Manufacturing Equipment, $ 1, 000,000 in 2020 and $ 2, 000, 000 in 2021
Miscellaneous equipment such as computers office, and furniture, $ 100, 000 in 2020 and $ 200, 000 in
2021.
B. Identify whether the Project will be located in a/ an:
Leased space with renovations or build out
Newly constructed building(s) on newly acquired land
Newly constructed building(s) on previously acquired land
Newly acquired existing building(s) with renovations
Addition to previously acquired existing building(s)
Other ( please describe in 4A above)
Please contact the Economic Development Council of Okaloosa County prior to completing this application. The Economic Development Council must formally
present these documents to the respective zoverninz bodies with 0 completed/siened DR -418 and exemption schedule from the PronerN Annrai.ser
Economic Development Ad Valorem Tax Exemption Supplemental Application
C. New construction value:
D. What year will renovations or construction for this project end? 2021
E. Value of new equipment or machinery: $ 3, 000, 000
F. What year will the last piece of equipment be purchased? 2021
SIGNATURES
The undersigned person hereby affirms that he or she has been duly authorized and empowered to verify, execute and deliver this
Application, that he or she has read this Application ( including all attachments hereto) and he or she has knowledge of all of the facts
stated herein, and that this Application, and all information submitted in connection herewith, is complete and accurate and contains
no misstatements, misrepresentations, or omissions of material facts, to the best of his or her knowledge and belief.
Confidential at this time
Signature
Date
Confidential at this time
Name Phone Number
Confidential at this time
Title E- mail Address
Confidential at this time
C1 anv
RENEWAL PR
INFORMATION
Please identify the contact information for the EDATE Annual Renewal Process ( individual responsible for renewal process)
TBDTBD
Name
Title
Phone Number E - Mail Address
MailingMailing AddressAddress
Please be sure to attach the proper incentive attachment sheet( DR- 418)***
Please contact the Economic Development Council of Okaloosa County prior to completing this application. The Economic Development Council must formally
present these documents to the respective governing bodies with a completed/signed DR -418 and exemption schedule ( r- om the Property Appraiser.
Print Form
ECONOMIC DEVELOPMENT AD VALOREM PROPERTY TAX EXEMPTION DR -418
Chapter 196. 1995, Florida Statutes R. 12/ 99
To be filed with the Board of County Commissioners, the governing boards of the municipality, or both,
no later than March 1 of the vear the exemption is tipmirerl fn tnk,. Affant
1 Business name American Elite PPE Mailing address 5680 John Givens Road
2 Please give name and telephone number of owner or person in charge of this business. Crestview Florida 32539
Name
Robert Sires 203 543- 7978 Telephone number 2035437978
3 Exact Location (Legal Description and Street Address) of Property for which this return is filed 4 Date you began, or will
161 Hill Ave Ft Walton Beach Florida
begin, business at this facility 8/ 1/ 2020
5 Description of the improvements to real property for which this exemption is requested Date of commencement of
Extrusion line, Air compressors, support system construction of improvements
8/ 1/ 2020
6 Description of the tangible personal property for which this exemption is requested and date when property was, or is to be purchased APPRAISER' S USE ONLY
Date of Taxpayer's Estimate of
Class or Item Age Purchase Original Cost Cond* Fair Market Rent Cond*
Extrusion line 2 yr 8/ 15/ 20;3 $ 350000 good $ 350000 $
Air compressors used 8/ 15/ 20;3 $ 50000 good $ 50000 $
Auxilary Equipment new 8/ 15/ 20ik $ 150000 good $ 150000 $
Electrical Work
new 8/ 15/ 20ih $ 50000 good $ 50000 $
Mold
new 8/ 15/2021 $ 150000 good $ 150000 $
Is $ $
Average value of inventory on hand: * Condition: good, avg ( average), or poor
Any additional personal property not listed above for which an exemption is claimed must be returned on form
DR -405 (Tangible Personal Property Tax Return) and a copy attached to this form.
7 Do you desire exemption as a [ new business or expansion of an existing busines 9 Trade levels ( check as many as apply)
8 Describe type or nature of your business
Manufacture of PPE materials
10 Number of full- time employees to be employed in Florida
IFZ]
Q Retail Z Wholesale
Service Q Office
Manufacturing
DOther, specify:
Professional
If an expansion of an existing business: Net increase
in employment
Increase in productive output
resulting from this expansion
11 Sales factor for the facility requesting exemption:
Total sales in Florida from this divided Total sales everywhere from this
2, 500, 000 7, 500, 000
facility -one ( 1) location only by facility -one ( 1) location only 10, 000, 000
12 For office space owned and used by a Date of incorporation lNumber of full- time
6/ 10/ 2020 50
corporation newly domiciled in Florida in Florida employees at this location
1 hereby request the adoption of an ordinance granting an exemption from ad valorem taxation on the above property pursuant to Section 196. 1995, Florida
Statutes. I agree to furnish such other reasonable information as the Board of County Commissioners, the governing authority of the municipality, or the
Property Appraiser may request in regard to the exemption requested herein. I hereby certify that the information and valuation stated above by me is true,
correct, and complete to the best of my knowledge and belief. (If prepared by someone other than the taxpayer, his declaration is based on all information of
which he has any knowledge.)
Date 7/ 2/ 2020 Signature, preparer
Preparer's address
Signature, taxpayer j
Title
Preparer' s telephone number
Property Appraiser's Use Only
I
Total revenue available to the county or municipality for the current fiscal year from ad valorem tax sources
I1
Revenue lost to the county or municipality for the current fiscal year by virtue of exemptions previously granted under this section
III Estimate of the revenue which would be lost to the county or municipality during the current fiscal year if the exemption applied
for were granted and the property for which the exemption is requested would otherwise have been subject to taxation
IV Estimate of the taxable value lost to the county or municipality if the exemption applied for was granted
Improvements to real property $ Personal property $
V I have determined that the property listed above meets the definition, as defined by Section 196. 012( 15) or (16), Florida Statutes, as a
