HomeMy WebLinkAboutDispositions Forms_57-19_9/16/2021_BuildingNO. 5-7 , / 1
RECORDS 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
Te uesta, 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 Q e. Recycle
Disposition Date Met
b. Send to Storage for Shredding Q d. Removed from Server Q f. Other
4. SUBMITTED BY:
I hereby c ify that the records to be disposed of are correctly represented below, that any audit requirements for the
record ave been f Ily ju ied, and that further retention is not required for any litigation pending or imminent.
Jose Rodriguez, Building Director 11/18/19
nature
Name and Title (Senior Staff only) Date
5. 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
Dates
in
Action and
have either met the relevant
Cubic
Date
retention period or have been
Feet
Comperted
Aft
scanned.
Authorization
Swe4
GS1-SL
286A
BUILDING PERMITS
10 YRS
1966-2008
1
f 2�
GS1-SL
286A
BUILDING PERMITS
10 YRS
2001-2007
1
►�
GS1-SL
286A
BUILDING PERMITS
10 YRS
1971 COOD;
1
n.
GS1-SL
286JO
60LA -CAW
PBUILDING PERMITS
10 YRS
2010-2014
1
AA.
GS1-SL
252b
ARCHITECTURAL
10 YRS
2018-2019
1
es
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
sposed of in the manner and on the date shown in column g.
letions or modifications are indicated.
rM )d lilt
C Z�
Records Liais n Officer Signature Date
Signature Name[Title Date
t 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
"g", 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: 10/7/19
Continuation Page
a,
b.
C.
d.
e.
f.
9.
Schedule
Item
Title
Retention
Inclusive
Volume
Disposition
No.
No.
Dates
in
Action and
Cubic
Date
Feet
Completed
After
Authorization
GS1-SL
286
Vo
BUILDING PERMITS
10 YRS
2010-2019
1
1p 2t
�•
q,
GS1-SL
2520
ARCHI ECTURAL
10 YRS
2010-2019
1
iK 2�,t d
A-
n.
GS1-SL
286
BUIL VING PERMITS
10 YRS
2010-2019
1
4M -
GS1-SL
254
ARCH TECTURAL
10 YRS
1960-2000
1
i•
4A✓1-
GS1-SL
25210
ARCHITECTURAL
10 YRS
2018-2019
1
AAA
i'
GS1-SL
252A
ARCHITECTURAL
10 YRS
1987-1994
1
n•
GS1-SL
252A
ARCHITECTURAL
10 YRS
1983 C2OOj-
GS1-SL
286,1�
BUILDING PERM ITS
10 YRS
1990-2011
1
GS1-SL
252
A CHITECTURAL
10 YRS
1988-2019
1
GS1-SL
252
ARCHITECTURAL
10 YRS
1992-2019
1
4.
/
''
GS1-SL
252A
ARCHITECTURAL
10 YRS
1962-2002
1
GS1-SL
286A
BUILDING PERMITS
10 YRS
1999-2008
1
An4.
GS1-SL
286A
BUILDING PERMITS
10 YRS
2001 200 I -fir
1
'
A"M
GS1-SL
254
ARCHITECTURAL
10 YRS
1990-2019
1
GS1-SL
254
ARCHITECTURAL
10 YRS
1980-2015
1
d
/+44
TOTAL. CUBIC FEET THIS PACE:
15