Roof Re-Nailing AffidavitRoof 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 should show surrounding area.
I ___________________ the Contractor/Qualifier do affirm and certify the roofing diaphragm for the roofing system
installed under permit number _____________ and located at __________________________ 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
diaphragm to 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? ______Yes _____ No
Were any of the roof diaphragms in need of replacement? ______Yes _____ No
Approximate Sq. Ft. ________
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? ______Yes _____ No, Type of fastener? _____________
Has the embedment of the diaphragm fasteners been verified? ______Yes _____ No
By his/her signature below, the Contractor/Qualifier does affirm and certify that the previously provided applicable
information for the roofing system installed under permit number _______________ and located
at _________________________________ this work was done under his/her supervision.
______________________ ____________________ _____________ ______________
Qualifier’s Name (print) Qualifiers Signature Date License Number
State of Florida
County of ____________________________
The foregoing instrument was acknowledged before me this _______ day of ___________, 20_____
By ________________________ who is personally know to me _________________ or had provided the following
identification ________________________
__________________________________
Notary Public’s Signature
100 N.W. 1st Ave – Delray Beach, FL 33444
Phone: (561) 243-7200
www.delraybeachfl.gov
SVIKA ELMALAH
23-213308 720 ENFIELD RD
SVIKA ELMALAH 06/10/2024 CCC1327680
PALM BEACH
1O JUNE 24
SVIKA ELMALAH ---
DL
720 ENFIELD RD
23-213308