HomeMy WebLinkAboutDispositions Forms_74-19_9/16/2021_BuildingNO. /7q' I?
RECORDS DISPOSITION DOCUMENT
PAGE 1 OF 2 PAGES
1. AGENCY NAME and ADDRESS
2. AGENCY CONTACT (Name and Telephone
VILLAGE OF TEQUESTA i
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
b. Send to Storage for Shredding O d. Removed from Server Of. Other
4. SUBMITTED BY:
I hereby certify that the records to be disposed of are correctly represented below, that any audit requirements for the
records ve been fully j stified, and that further retention is not required for any litigation pending or imminent.
Jose Rodriguez, Building Director 12/03/19
S, ature Name and Title (Senior Staff oniy) Date
S. LIST OF RECORD SERIES
a.
b.
C.
d.
e.
f.
g.
Schedule
Item
Title
Retention
Inclusive
Volume
Disposition
No.
No.
Please note that these documents have
Dates
in
Action and
either met the relevant retention
Cubic
Date
period or have been scanned.
Feet
Completed
After
Aut orization
19�1AcD
mZ
GS1-SL
252a
Architectural
10 Yrs
1998-2007
1
aaa°I
1969(2009
Cep,
1
he s �,f �
Ot /�0
GS1-SL
286a
Building Permits
10 Yrs
,
GS1-SL
286a
Building Permits
10 Yrs
1996 009
1
q 04kN2,0
1'�lnid•
GS1-SL
252a
Architectural
10 Yrs
1968-2008
1
AM► J.
GS1-SL
252a
Architectural
10 Yrs
1976-2008
1
TOTAL CUBIC FEET THIS PAGE:
5
6. DISPOSAL AUTHORIZATION: Disposal for
7. DISPOSAL CERTIFICATE: The above listed records have been
the above listed records is authorized. Any
of in the manner and on the date shown in column g.
deletions or modifications are indicated.W)�V�
K
i-A1glI�
2�
Records Liaison Officer Signature Date
Signature NamelTitl Date
t !
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
at the storage room and the "Clerk's Office" will contact
IV% originating deaprtment then sends
Public Works to take the records to storage
4. Completed form to Village Clerk's Office for permanent
3. Clerk's Office will be responsible for final disposition of
archival
records at this point
OR
Form Updated: 1017119
Lid
o�-
oa®
Continuation Page
a.
b.
C.
d.
e.
f.
g.
Schedule
Item
Title
Retention
Inclusive
Volume
Disposition
No.
No.
Please note that these documents have
Dates
in
Action and
either met the relevant retention period or
Cubic
Feet
Date
Completed
have been scanned
After
Authorization
GS1-SL
252a
Architectural
10 Yrs
1983-2007
1
AAA:u•
��♦ C
GS1-SL
252a
Architectural
10 Yrs
1963-2009 -
�'��
AAAJ.
GS1-SL
286a
Building Permits
10 Yrs
1963 009
1
W►1NC
GS1-SL
252a
Architectural
10 Yrs
1969 200
AAA; J.
GS1-SL
252a
Architectural
10 Yrs/
1995-2018
1
Scanned
GS1-SL
252a
Architectural
10 Yrs/
2002-2016
1
scanned
GS1-SL
286a
Building Permits
10 Yrs
0i
1979-2009-
Lit
1
wt
d tr
d a
GS1-SL
252a
Architectural
10 Yrs/
1986-2016
1
scanned
GS1-SL
286a
Building Permits
10 Yrs/
1989-2019
1
scanned
TOTAL CUBIC .FEET THIS PAGE:
9