Roof Re-Nailing AffidavitBUILDING I HISTORIC PRESERVATION I PLANNING & ZONING
DEVELOPMENT SERVICES 100 N.W.
Phone: (561) 243-7200
FL 33444
www.delravbeachfl.gov
Roof Re-Nailing Affidavit
Note: Photographic evidence demonstrating code compliance shall accompany this affidavit. This should include:
A.) One photo of the front of the house, including house number.
B.) Clear photos of nail spacing, type and if applicable, of self-adhered tape on plywood seams.
C.) Some photos p~~ho__tos should show surrounding area.
lOL3Uy'~'(~4~+Gt?l1 the Contractor/Qualifier do affirm and certify the,rQofing diaptuagm for the roofing system
installed under permit number and located at y&25 77 ((VU"! was evaluated under my
supervision; and the roof diaphragm was found to be in compliance with Table 706.7.1.2 of the Florida Building Code
Seventh Edition (2020), Existing Building, or remediation work was performed as outlined below to bring the roof
diaphragme:o code-compliance:
Roof Diaphragm Evaluation
As required by Florida Building Code Seventh Edition (2020), Existing Building Section 707.3.2
Was the roof diaphragm evaluated for insufficient or deteriorated connections? 3 Yes No
Were any of the roof diaphragms in need of replacement? 3 Yes No
Approximate Sq. Ft. SO' —
What type of material was used to replace the deficient roof diaphragms?
As required by Florida Building Code Seventh Edition (2020), Existing Building, Section 706.7.1 Sheathing
Fastenings. / /~ Has the roof sheathing been fastened to code? y Yes No, Type of fastener? f.D R I S
Has the embedment of the diaphragm fasteners been verified? i/ Yes No
By his/her signature below, the Contractor/Qualifier does affirm and certify that the previously provided applicable
information foçqie roofing system installed under permit number and located
at / Q/< T12 JZ this work was done under his/her supervision.
L11
Qualifier's Name (print) QualiftE V Signature
State of Florida
County of Pd tin &eceM
5 j28 fr4-
Date License Number
acknow .'ged before me this 2 day of
w' o is personally know to me
neM
o1S ~~ •`• MARIA TAIN
Notary Public • State of Florida
iy Commission R NN 410096
•.i µy Comm. Expires Aug 7, 2027
Bonded through National Notary M.
20 &CL
or had provided the following