Form ID

Publication date

Location of premises

Certificate

Interior Commercial Building Renovation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Denny Jezdic
Address of Owner
330 Notre Dame St, Belle River, ON
Name of Contractor
Fortis Construction Group Inc.
Address of Contractor
3070 Jefferson Blvd., Windsor, ON
Name of Certifier
Architectural Design Associates - Jerry Kavanaugh
Address of Certifier
1670 Mercer St, Windsor, ON

Office to which claim for lien must be given to preserve lien

330 Notre Dame St, Belle River, ON