HomeMy WebLinkAboutDispositions Forms_17-19_9/16/2021_Building NO. 17 q, /I
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
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 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
! ature ZZ 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 have Dates in Action and
either met the relevant retention Cubic Date
period or have been scanned. Feet Completed
After
Aut orization
►�t1A�4 Z
GS1-SL 252a Architectural 10 Yrs 1998-2007 1
►� a cep► ba 4sn i IIA09
009
GS1-SL 286a Building Permits 10 Yrs 1969 2 1
-- FVIW
09 cod C f 4 1 adc
GS1-SL 286a Building Permits 10 Yrs 1996 0 1 q 6loa,0 an.
r�rtni�-
GS1-SL 252a Architectural 10 Yrs 1968-2008 1
PtM&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 dis sed of in the manner and on the date shown in column g.
deletions or modifications are indicated.
wl�
)a 1� l I� (lam 2�
Records Liaison Officer Signature Date Signature Name/Titl Date
► '
Routin :
I. 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
I Originating department to dispose and document column at the storage room and the"Clerk's Office"will contact
" %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: 10R/19
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 Date
have been scanned Feet CompletedAfter
Authorization
GS1-SL 252a Architectural 10 Yrs 1983-2007 1 4A012(
AAA;u• e
CA
GS1-SL 252a Architectural 10 Yrs 1963-2009- omt
lam v• +1�1710
GS1-SL 286a Building Permits 10 Yrs 1963 009 1
W►1nC✓
GS1-SL 252a Architectural 10 Yrs 1969 200 " 1
GS1-SL 252a Architectural 10 Yrs/ 1995-2018 1
Scanned
GS1-SL 252a Architectural 10 Yrs/ 2002-2016 1
scanned
Lit
GS1-SL 286a Building Permits 10 Yrs 1979-2009-2009 1
1gMi'� datr 14
� 4
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