Elevated homes in New Orleans must be designed with a foundation system that reaches below the soft, compressible surface soils to stable bearing material, while also achieving the required finished floor elevation above the Base Flood Elevation. Options include engineered masonry piers, concrete columns, or helical pile systems depending on the flood zone, soil conditions, and structural loads. The city requires that all mechanical and plumbing equipment be located at or above the required floor elevation, which means MEP design must be coordinated with the foundation and framing plan from the start.