Form P/C/E 9-90
CITY OF BATON ROUGE
Rev. 11-90
PARISH OF EAST BATON ROUGE
Rev. 08-91
Rev. 05-93
PROPOSED CERTIFICATE OF ELEVATION
Rev. 12-95
Rev. 04-09
Building Permit No. ____________________________
Date Issued: _____________
Address _______________________________________ Lot/Tract ______ Square _____
Subdivision ____________________________________ Filing _____________________
Contractor __________________________ License No: State ____________ EBR _________
Official Benchmark Used __________________ Date of Benchmark Datum__________
Elevation ________ ft. NAVD 88
FIRM Community No. 220058, Panel No. _________, Suffix_______FIRM Date ____________
Flood
Zone(s):____________,
elevation
FIRM
base
flood
or
adjacent
base
is______ft. NAVD 88,
Record Inundation __________ft. NGVD 29
flood
elevation
The lowest natural ground at the proposed structure is_________ feet NAVD 88.
The minimum lowest elevation shall be determined by using the highest elevation of
the following (indicate controlling elevation below):
(1)
FIRM Zones - (A-AE) and
=______ ft. NAVD 88
Base Flood Elevation = _____ ft. + 1.00 ft.
(2)
FIRM Zones - (X)
Adjacent Firm Zones (A-AE)
=______ ft. NAVD 88
Base Flood Elevation = ______ ft. + 1.00 ft.
(3)
Maximum Recorded Inundation
=______ ft. NGVD.29
Elevation = _____ ft. + 1.00 ft.
(4)
Sanitary Sewer Manhole
(upstream or downstream of wye)
=______ ft. NAVD 88
Top of nearest controlling SSMH = _____ ft. + 1.00 ft.
(5)
Street centerline
=______ ft. NAVD 88
Elevation = ______ ft. + 1.00 ft.
I hereby certify that the required lowest floor elevation of the proposed structure
at the property location is _______ feet NAVD 88 and is located in FIRM ZONE _______.
____________________________ __________
PROFESSIONAL LAND SURVEYOR,
DATE
PROFESSIONAL ENGINEER, OR
REGISTERED ARCHITECT
______________________________________
(SEAL REQUIRED)
STATE REGISTRATION NUMBER
Form P/C/E 9-90
CITY OF BATON ROUGE
Rev. 11-90
PARISH OF EAST BATON ROUGE
Rev. 08-91
Rev. 05-93
PROPOSED CERTIFICATE OF ELEVATION
Rev. 12-95
Rev. 04-09
Building Permit No. ____________________________
Date Issued: _____________
Address _______________________________________ Lot/Tract ______ Square _____
Subdivision ____________________________________ Filing _____________________
Contractor __________________________ License No: State ____________ EBR _________
Official Benchmark Used __________________ Date of Benchmark Datum__________
Elevation ________ ft. NAVD 88
FIRM Community No. 220058, Panel No. _________, Suffix_______FIRM Date ____________
Flood
Zone(s):____________,
elevation
FIRM
base
flood
or
adjacent
base
is______ft. NAVD 88,
Record Inundation __________ft. NGVD 29
flood
elevation
The lowest natural ground at the proposed structure is_________ feet NAVD 88.
The minimum lowest elevation shall be determined by using the highest elevation of
the following (indicate controlling elevation below):
(1)
FIRM Zones - (A-AE) and
=______ ft. NAVD 88
Base Flood Elevation = _____ ft. + 1.00 ft.
(2)
FIRM Zones - (X)
Adjacent Firm Zones (A-AE)
=______ ft. NAVD 88
Base Flood Elevation = ______ ft. + 1.00 ft.
(3)
Maximum Recorded Inundation
=______ ft. NGVD.29
Elevation = _____ ft. + 1.00 ft.
(4)
Sanitary Sewer Manhole
(upstream or downstream of wye)
=______ ft. NAVD 88
Top of nearest controlling SSMH = _____ ft. + 1.00 ft.
(5)
Street centerline
=______ ft. NAVD 88
Elevation = ______ ft. + 1.00 ft.
I hereby certify that the required lowest floor elevation of the proposed structure
at the property location is _______ feet NAVD 88 and is located in FIRM ZONE _______.
____________________________ __________
PROFESSIONAL LAND SURVEYOR,
DATE
PROFESSIONAL ENGINEER, OR
REGISTERED ARCHITECT
______________________________________
(SEAL REQUIRED)
STATE REGISTRATION NUMBER
