HomeMy WebLinkAboutDispositions Forms_07-22_5/5/2022_BuildingNO.
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
Tequesta, 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 O 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
records have been fully justified, and that further retention is not required for any litigation pending or imminent.
T
Jose Rodriguez - Building Director 04/28/22
Si6pature Name and Title (Senior Staff only) Date
5. LIST OF RECORD SERIES
After the Item �, p ace an "a" for record
a.
b.
C.
d.
e.
f.
g.
Schedule
Item
Title
Retention
Inclusive
Volume
Disposition
No.
No.
Dates
in
Action and
Cubic
Date
inuen "a"
or"Y
Feet
Completed
alter oe
After
# r2a7h)
Authorization
1 kr<
GS1-SL
286B
BUILDING PERMITS
OBSOLETE
1968-2015
1
5.5 101�
S4 VCA
GS1-SL
286B
BUILDING PERMITS
OBSOLETE
1967-2014
1
5.5. ZV
n
lag • Alan /�
S�nrtd
GS1-SL
216B
ARCHITECTURALM-0?'6c 4Z
OBSOLETE
1965-2021
1
5yS SU
n/
GS1-SL
216B
ARCHITECTURAL
OBSOLETE
1980-2017
1
5 5 •7�
GS1-SL
286B
BUILDING PERMITS
OBSOLETE
1961-2014
1
5 5'a0
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
disp ed of in the anner and on the date shown in column g.
eletions or modifications are indicated.
Records Liaison Officer Signature Date
nature Name/Title 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
records
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 Form Updated: 4/11/18, 1/26/21
OR
Continuation Page
a.
Schedule
No_
b.
Item
No.
C.
Title
d.
Retention
e.
Inclusive
Dates
f.
Volume
in
Cubic
Feet
9.
Disposition
Action and
Date
Completed
After
Authorization
GS1-SL
286B
BUILDING PERMITS
OBSOLETE
1965-2016
1
%I lvd
6 ' G
GS1-SL
216B
ARCHITECTURAL 1�
(iNM M.erL
OBSOLETE
1980-2017
1
r
J • 5, (,9 - a
GS1-SL
2168
/O/A /r S
ARCHITECTURAL Q
OBSOLETE
1962-2021
1
g1VQC
GS1-SL
286B
BUILDING PERMITS
OBSOLETE
1971-2014
1
GS1-SL
216B
d/,-/q .-da,�Ls
ARCHITECTURAL C��'�rn�°�
OBSOLETE
1971-2017
1
S�,Yt'cl
��G'>d•
TOTAL GUM FEET THi , PAGE:
5