Form P/C/E9-90 "Proposed Certificate of Elevation" - City of Baton Rouge, Louisiana

Form P/C/E9-90 Printable Pdf
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What Is Form P/C/E9-90?

This is a legal form that was released by the Louisiana Department of Transportation and Development - a government authority operating within Louisiana. The form may be used strictly within City of Baton Rouge. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2009;
  • The latest edition provided by the Louisiana Department of Transportation and Development;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form P/C/E9-90 by clicking the link below or browse more documents and templates provided by the Louisiana Department of Transportation and Development.

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Download Form P/C/E9-90 "Proposed Certificate of Elevation" - City of Baton Rouge, Louisiana

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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
Elevation Certificate Form Louisiana Department of Transportation and Development Louisiana Legal Forms Certificate Templates United States Legal Forms

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