MEMORANDUM
Districts 1 & 7 Structures Maintenance Office
2916 Leslie Road, Tampa, FL. 33619-2263
(813) 744-6050 • Fax: (813) 744-8251
DATE:
TO:
Bronoris C. Pye, Structures Management Coordinator
FROM*:
COPIES:
Luis Juarbe, Overhead Sign Structure File
SUBJECT:
Request for Overhead Sign Structure Number Assignment
Please review this Overhead Sign Structure Number Assignment request and grant an appropriate number:
Sign Project Information
FINANCIAL PROJECT ID:
OWNER:
(Ex: State, County, City Name, Other
[specify])
EOR name; Design firm, address:
COUNTY:
SECTION/SUBSECTION:
MILE POINT:
(APROX.)
(Refer to SLD's)
COUNTY ROAD NO.:
U.S./SR ROAD NO.:
(Example: I-4/SR 400)
YEAR BUILT:
PROPOSED:
OR
ACTUAL:
(if already built)
Sign Location Description
SIGN NAME:
(Example: SB US 27 TO AVON PARK)
LOCATION:
(Example: 500 ft North of SR 60 [optional: In addition to description use map software to provide Lat./Long.])
Sign Character Description
STRUCTURE TYPE (Enter “Left”, “Right” or “Center” by applicable description on next line):
(“Left” or “Right” means Facing Station Ahead: South to North/West to East. “Center” means sign in median or spans both directions)
BRIDGE SPAN (TRUSS):
CANTILEVER:
HORZ LENGTH:
BUTTERFLY:
(“Left” or “Right”)
(Spans the Roadway has two or more columns)
(“Center”)
UPRIGHT HEIGHT:
(To top of Column)
HORIZONTAL CLEARANCE:
(For Span sign: Distance between columns; For Cantilever/Butterfly sign: Distance from edge of pavement to column)
Sign Over (please pick one):
ROADWAY
BRIDGE (built on or straddling structure)
RAILROAD
MATERIAL TYPE: (please pick one)
Galvanized (Steel or Aluminum)
Aluminum (plain or painted)
Weathering Steel
Steel (not galvanized)
Other - Explain:
SIGN NUMBER OF EXISTING STRUCTURE TO BE REPLACED (if applicable):
* Provide a return address where the sign number assignment letter can be sent.