HomeMy WebLinkAboutDispositions Forms_63-19_9/16/2021_Building (2) NO.
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 specked
below(specify only one).
0 a. Shred at Department Level 0 c. Send to Storage until O e. Recycle
Disposition Date Met
0 b. 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 ve been fully j ified, and that further retention is not required for any litigation pending or imminent.
Jose Rodriguez 11/22/2019
?t ature 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. Dates in Action and
Please note that these documents have
either met the-re4eaerrt retention period or Cubic Date
have been scanned. Feet Completed
After
1; Authorization
GS 1-SL 286)b Permits/Building-(imaged) 10 AY, 1981- 1 S h Am
11-- 2
GS 1-SL 286/p Permits/Building-(Imaged) 10 AY. 1980-2009 1
GS 1-S L 286D Permits/Building-(Imaged) 10 AY. 1989-2009 1
GS 1-SL 252� Architectural-(Imaged) 10 AY. 1994-2009 1
t
44-- w
GS1-SL 286� Permits/Building-(Imaged) 10 AY. 1994-2019 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 4ul
sposed of in the manner and on the date shown in column g.
eletion or modifications are indicated.
I c 11 a�I M(-4, (Z�
Records Liaison Officer Signature Date Signature Name/Title Date
Routing:
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
OR
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� Permits/Building-(imaged) 10AY. 1973-2019 1 45h144
/ ( 4
GS1-SL 252b Architectural-(Imaged) 10AY. 1992-2009 1
04( /o
GS1-SL 286b Permits/Building-(Imaged) 10AY. 1983-2009 1
GS1-SL 286)10 Permits/Building-(Imaged) 10AY. 1984-2017 1
GS1-SL 286)b Permits/Building-(Imaged) 10AY. 1995-2007 1
TOTAL CUBIC FEET THIS PAGE; 5