Form Fm4048 - Tenant Improvement Request Form - Department Of Management Services Page 2
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1
2STATE OF FLORIDA
DEPARTMENT OF MANAGEMENT SERVICES
TENANT IMPROVEMENT REQUEST FORM
Provide agency point of contact information
Primary Contact: ____________________________________________________________ Phone Number: ____________________
E‐mail Address: ____________________________________________
Alternate Contact: __________________________________________________________ Phone Number: ____________________
E‐mail Address: ____________________________________________
Please, indicate Agency Budget information and availability: ___________________________________________________________
____________________________________________________________________________________________________________
Please, attach Floor plans indicating areas included in this request. Check
Tenant Improvement Request
Reviewed by DMS Facility Manager: (x) ____________________________ _______________________________ ________________
Signature Print Name
Date
Tenant Improvement – Requesting Agency Authorization
Department of Management Services ‐ Building Construction
Approved: (x) ___________________________________
Approved:(x)____________________________________
Signature
Signature
Print Name: _____________________________________
Print Name: ____________________________________
Title: ___________________________________________
Title: __________________________________________
Date:_______________
Date: _______________
Department of Management Services
Department of Management Services ‐ Budget Office
Division of Real Estate Development and Management
Directors Office
Budgeted Cost: $ ________________________________
Approval:(X)_____________________________________
Project Number: ________________________________
Division/ Department Signature
Budget Approval:(x)_______________________________
Print Name: _____________________________________
Signature
Print Name: _____________________________________
Title: ___________________________________________
Date: _______________
Date: _______________
Approved form will be provided to:
Requesting Agency
DMS Leasing
DMS Project Management
DMS Operations and Maintenance
DMS Facility Manager
FM4048 (R07‐12) Page 2 of 2
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