HomeMy WebLinkAboutDispositions Forms_57-19_9/16/2021_Building (2) NO. 57
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).
0 a. Shred at Department Level Q c. Send to Storage until Q e. Recycle
Disposition Date Met
0 b. Send to Storage for Shredding 0 d. Removed from Server Of. 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
6. 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 Completed
After
scanned.
Authorization
GS1-SL 286A BUILDING PERMITS 10 YRS 1966-2008 1 Stirred
411A. /t1
GS1-SL 286A BUILDING PERMITS 10 YRS 2001-2007 1
I 17-0
GS1-SL 286A BUILDING PERMITS 10 YRS 1971 coo;) 1
n.
GS1-SL 286k BUILDING PERMITS 10 YRS 2010-2014 1
i M. toy en.
GS1-SL 252b �t<< ARCHITECTURAL 10 YRS 2018-2019 1
� nn
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 posed of in the manner and on the date shown in column g.
letions or modifications are indicated.
1! lr lqll(atzl
Records Liais n Officer Signature Date Signature NamefTitle Date
I I
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
" %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
r .
Continuation Page
a. b. C. d. e. f. g.
Schedule Item Title Retention Inclusive Volume Disposition
No. No. Dates in Action and
Cubic Date
Feet Completed
After
Authorization
GS1-SL 286 BUILDING PERMITS 10 YRS 2010-2019 1 5hnt4
q1,(IM
Faw
GS1-SL 2520 ARCHITECTURAL 10 YRS 2010-2019 1
F. ivy a�c� A- n.
GS1-SL 286 BUIL ING PERMITS 10 YRS 2010-2019 1
�,,,
�M.
GS1-SL 252W ARCH TECTURAL 10 YRS 1960-2000 1
i 4AV1.
GS1-SL 252kI ARCHITECTURAL 10 YRS 2018-2019 1
AA11.
GS1-SL 252A ARCHITECTURAL 10 YRS 1987-1994 1
_ n
GS1-SL 252A ARCHITECTURAL 10 YRS 198 D00'_ 1
GS1-SL 286,4 BUILDING PERMITS 10 YRS 1990-2011 1
%ma_� AArl-
GS1-SL 252b A CHITECTURAL 10 YRS 1988-2019 1
Otto
i Mrt�cO� �}ilA.
GS1-SL 252 ARCHITECTURAL 10 YRS 1992-2019 1
�n.Q�
GS1-SL 252A ARCHITECTURAL 10 YRS 1962-2002 1
1414.
GS1-SL 286A BUILDING PERMITS 10 YRS 1999-2008 1
Aan.
GS1-SL 286A BUILDING PERMITS 10 YRS 2001 200 I' 1
GS1-SL 252 ARCHITECTURAL 10 YRS 1990-2019 1
�
1 .44n
GS1-SL 252V ARCHITECTURAL 10 YRS 1980-2015 1
dM,,ptd /- 44
TOTAL CUBIC FEET THIS PAGE: 15