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Construction Services Request (Miami Dade College)

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Construction Services Request
Request Date:
Page 1 - completed by project originator
PROJECT TYPE:
New Const Remodeling (change use) Renovation Life Safety Site Work
Campus / Center :
Project Description :
Project Title:
RECOMMENDED FUND SOURCE:
Capital Outlay Campus Funds Other
IMPACT OF CONSTRUCTION (indicate N/A if none):
Adjacent Areas Affected :
Anticipated Shutdowns :
Temporary Housing:
MDC Personnel Required :
EDUCATIONAL SPECIFICATIONS INFORMATION INCLUDED: COST EST (by originator)*
List of existing rooms/areas in project (room #'s, titles, NSF)
Detailed Ed Specs for each room/space
Spacial realtionships diagram (floor plans)
Other
Const/related
Furniture
Equipment
TOTAL:
* Note: facilities Management will prepare a detailed cost estimate following review of ed
specs, on-site inspection & determination of any related facilities infrastructure work.
Requested Occupancy Date:
AUTHORIZING SIGNATURES:
Originator:
Date:
Date:
Date:
FOWARD TO:
Asst Vice Provost Fac Planning
Facilities Management
Kendall Campus building L
ggosnell@mdc.edu
Miami Dade College
Campus Facilities Planner:
Dean for Admin/District VP:
Campus Planner, Electrician, NTS, Project Manager
PROJECT # :
(assigned by Facilities Planning)
FACILITIES PLANNING AUTHORIZATION:
State Survey #'s :
CIP Approval :
Fund Source : Asst. Vice Provost for Facilities Planning :
FACILITIES DESIGN & CONSTRUCTION COST ESTIMATE:
Type of Use No. of Units NSF GSF $ / GSF Base Const Budget Est.
Classrooms1
Non-Vocational Labs2
Vocational Labs3
Physical Education4
Library / Study5
Audio Visual6
Auditorium / Exhibition7
Student Services8
Office9
Support Services10
Circulation11
Mech & Toilet12
Land (acres)13
a. Parking -- Surface14
b. Parking -- Garage
TOTAL EST BASE CONST
Painting15
Ceiling Tile16
Carpet17
Other18
TOTAL MINOR REMODELING & RENOVATION COST
Architect/Engineer Fees19
Specialty Consultants20
Other Prof. Services21
Permits/Plans Review/Insp.22
Site Prep23
Asbestos/Environmental24
Test & Balance25
Telecom26
Furniture27
Equipment28
Moving29
Temp Housing30
Security31
Art in Public Places (<= 3% Cont $)32
Other33
Contingency34
MINOR REMODELING & RENOVATION
OTHER PROJECT COSTS
TOTAL OTHER PROJECT COSTS :
GRAND TOTAL PROJECT COSTS :
100% Design : Substantial Completion : Occupancy :
Cost Estimate Prepared By :
Director/Project Manager Assignment :
Asst. Vice Provost for Design & Construction :
Date :
Date :
EST PROJECT SCHEDULE:
Construction Services Request Page 2 - Campus / Center :
Project Title :
Date :
Submit by Email
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Completed 7 November 2020

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