Request 497 - Code Compliance/Building Department STATE OF FLORIDA
D£PARTMENT OF STATE
Division of Library and .EC RDS DISPOSITION REQUEST NO.
Information Services ~ ~1~'~ , ! } I ]
Form LSi~E107R4-93 -- PAGE I OF / PAGES
1. AGENCY 2. DIVISION 3. BUREA
CITY OF HIAMI ~ CODE COMPLIANCE SECTION BUILDING DEPARTMENT
4. ADDRESS (Street, City, and Zip Code) 5. CONTACT (Name & Telephone Number)
17OO CONVENTION CENTER DR. JOSE DAHIEN 305-673-7555
MIAMI BEACH, FL 33139 NATALIE TOOKS 305-673-7411
6. SUBMITTED BY: I herebyA=ertify that the records to be disposed of
SUBMIT TO: are correctly r~p~w, that any audit requirements for the
records have~n fully j~j~ified, and that further retention is not
Florida Department of State
required fo~n~t~ga~t~Ypending or imminent. / /
MaiiBureaUstation°f ArchiveSgA and Records Management~~/~/~~/~/;TJ'"//'~/~ ~-
The Capitol
Tallahassee, FL 32399-0250 J S DAMIEN~ ~A_C__T_I_NG.._C_0.D_E_COMPLIANCE
7. BUREAU OF ARCHIVES & RECORDS MANAGEMENT REVIEW OTICE OF INTENTION
(FOR DIVISION USE ON/. Y) The scheduled records listed in Item 9 are to be disposed of in the
manner checked below (specify only one}:
TECHNICIAN REVIEW
ANALYST REVIEW [ ~ /( X a. Destruction ~ b. Microfilming and Destruction
ARCHIVIST REVIEW c. Other
9. LIST OF RECORD SERIES
a. b. c. Retention ~- Volume Disposition
Schedule Item Title {Division Inclusive in Action and Date
No. No. use Only) Dates Cubic Feet Completed After
Authorization
BC-1R~- 30( ) CODE VIOLATION CASE FILES 10/O1/89
thru
304 lJ~ LOT CLEARANCE ~'~F..[~J; 10/O1/89
thru / ~/~/~ ~ ,
~/~ 09/30/90 1 . 5
BC-5 55 INSPECTOR'S DAILY REPORTS 10/O1/89
thru
~-~ 09/30/90 3.0
370 2.~ CERTIFICATE OF USE 10/O1/89 1.5
~JPL!CATE gILLS ~/~ 09/30/90
' NOTE: FOR CONTINUATION USE Form LSSE108 *
10. DISPOSAL AUTHORIZATION (FOR DIVISION USE ONLY) 11. DISPOSAL CERTIFICATE: The above listed records have been
Disposal for the above listed records is authorized. Any deletions or disposF'l~'~f, in the manner and on the date shown in column g.
S gnature
~_, Name and T~fle /
Director, Division of Library Date -~W~ ~ ~~
and Information Services '
NOTE: Upon disposition retain this form for your records.