HomeMy WebLinkAboutDispositions Forms_05-19_10/2/2019_BuildingRECORDS DISPOSITION DOCUMENT
PAGE 1 OF 2 PAGES
1. AGENCY NAME and ADDRESS
2. AGENCY CONTACT (Name and Telephone
VILLAGE OF TEQUESTA
Number)
345 Tequesta Drive
Lori McWilliams, MMC
Teguesta, FL 33469
(561 768-0443
3. NOTICE OF INTENTION: The scheduled records listed in Item 5 are to be disposed of in the manner specified
below (specify only one).
Oa. Shred at Department Level O c. Send to Storage until O e. Recycle
Disposition Date Met
Ob. Send to Storage for Shredding 0 d. Removed from Server O f. Other
4. SUBMITTED BY:
I hereby certify that the records to be disposed of are correctly represented below, that any audit requirements for the
record have been fuy justified, and that further retention is not required for any litigation pending or imminent.
Jose Rodriguez, Building Director 12/04/18
L,,,nature Name and Title (Senior Staff only) Date
6. LIST OF RECORD SERIES
a.
Schedule
b.
Item
C.
Title
d.
Retention
e.
Inclusive
f.
Volume
g.
Disposition
No.
No.
ptfA&Q rh0{& +1,\ Jr 4V AJ -c
Dates
in
Action and
doC L,-V,QJw-x KAx'e- col! �
F%od
�'`�`� cc n
Cubic
Feet
Date
Completed
IrGLQ VXAt-+ rt
After
mac(
Authorization
GS1-SL
252a.
Architectural/Building Plans
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
FOAY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
1960 - 2008
1.5
TOTAL
CUBIC FEET THIS PAGE:
7.5
6. DISPOSAL AUTHORIZATION: Disposal for
7. DISPOSAL CERTIFICATE: The above listed records have been
the above listed records is authorized. Any
disposed of in the manner and on the date shown in column g.
deletions or modifications are indicated.
Signature Name/Title Date
Records Liaison Officer Signature Date
Routin
:
1. Originates with Department Senior Manager, then
1. Originates with Department Senior Manager, then
2. Village Clerk's Office authorizes disposition, and returns to
2. Village Clerk's Office authorizes disposition and/or storage
3. Originating department to dispose and document column g,
at the storage room and will contact Public Works to remove
then sends
form to Village Clerk's Office for permanent
records
3. Clerk's Office will be responsible for final disposition of
4. Completed
records at this point
archival
Form Updated: 4/11/18
OR _
— --
Continuation Page
a.
Schedule
No.
b.
Item
No.
C.
Title
d.
Retention
e.
Inclusive
Dates
f.
Volume
in
Cubic
Feet
g.
Disposition
Action and
Date
Completed
After
Authorization
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
PermitslBuilding
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
PermitslBuilding
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1960 - 2008
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1.5
GS1-SL
286a.
Permits/Building
10 AY.
1960 - 2008
1.5
TOTAL CUBIC FEET THIS PAGE:
22.5
%oki 3o