An installation tool and fastener is particularly adapted for fastening a top plate to a roof support member and other structural connections. The installation tool comprises a telescopic tool assembly which transfers torque from a power driver tool to a fastener drive coupler. The installation tool has a receiver guide which is configured to concentrically guide a fastener into driver engagement with a fastener coupler. The coupler may have a driver tip with radial projections, a Philips driver tip or a square driver tip. In one embodiment, the installation tool fastener has a head with a maximum head diameter equal to the major thread diameter and a recess for coupling with the drive coupler.