<!-- Begin Body --> 
<form  role="form" id="permits_and_licenses_form" class="form-horizontal">
	<div class="container-fluid" style="padding-top:120px; height:auto">
		<div class="row"><br/></div> 
		<input  type="hidden" id="block" placeholder="Block" value=""  readonly class="form-control text-left" name="block">
		<input  type="hidden" id="lot" placeholder="Lot" value=""  readonly class="form-control text-left" name="lot">
		<!--<div class="row">
			<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12"> 
				<fieldset> 
					<div class="form-group"><input type="hidden" id="main_id" name="main_id" value="<?=$_REQUEST['id']?>">
						<label class="col-md-2 control-label text-right" for="block"><small>Block</small></label>
						<div class="col-md-4">
							<input  type="text" id="block" placeholder="Block" value=""  readonly class="form-control text-left" name="block">
						</div> 
						<label class="col-md-2 control-label text-right" for="lot"><small>Lot</small></label>
						<div class="col-md-4">
							<input  type="text" id="lot" placeholder="Lot" value=""  readonly class="form-control text-left" name="lot">
						</div>
					</div> 
				</fieldset>
			</div> 
		</div>
		<div class="row"><br/></div>-->
		<div class="row">
			<div class="col-lg-3"></div>
			<div class="col-lg-6">
				<div class="container-fluid panel">
					<div class="row">
						<div class="col-lg-12">
							<h4>Permits and Licenses</h4>
							<div class="table-responsive">
								<table class="table table-responsive table-striped table-hover table-bordered table-condensed" width="100%">
									<thead>
										<tr>
											<th></th>
											<th colspan="2" class="text-center center" style="font-size:10pt; padding:0px; margin:0px">DATE</th>
										</tr>
										<tr>
											<th width="50%"></th>
											<th width="25%" class="text-center center" style="font-size:10pt; padding:0px; margin:0px">Processed</th>
											<th width="25%" class="text-center center" style="font-size:10pt; padding:0px; margin:0px">Released</th>
										</tr>
									</thead>

									<tbody>
										<tr>
											<td class="text-right right">Tax Dec Land</td>
											<td><input type="text" id="tax_dec_land_processed" style="background-color:#fff" name="tax_dec_land_processed" value="" class="form-control text-right datepicker" autocomplete="off"></td>
											<td><input type="text" id="tax_dec_land_released" style="background-color:#fff" name="tax_dec_land_released" value="" class="form-control text-right datepicker" autocomplete="off"></td>
										</tr>

										<tr>
											<td class="text-right right">Tax Dec Building</td>
											<td><input type="text" id="tax_dec_building_processed" style="background-color:#fff" name="tax_dec_building_processed" value="" class="form-control text-right datepicker"  autocomplete="off"></td>
											<td><input type="text" id="tax_dec_building_released" style="background-color:#fff" name="tax_dec_building_released" value="" class="form-control text-right datepicker" autocomplete="off"    ></td>
										</tr>								
										<tr>
											<td class="text-right right">Tax Receipt Land</td>
											<td><input type="text" id="tax_receipt_land_processed" style="background-color:#fff" name="tax_receipt_land_processed" value="" class="form-control text-right datepicker"   autocomplete="off"   ></td>
											<td><input type="text" id="tax_receipt_land_released" style="background-color:#fff" name="tax_receipt_land_released" value="" class="form-control text-right datepicker" autocomplete="off"    ></td>
										</tr>

										<tr>
											<td class="text-right right">Tax Receipt Building</td>
											<td><input type="text" id="tax_receipt_building_processed" style="background-color:#fff" name="tax_receipt_building_processed" value="" class="form-control text-right datepicker"  autocomplete="off"   ></td>
											<td><input type="text" id="tax_receipt_building_released"  style="background-color:#fff" name="tax_receipt_building_released" value="" class="form-control text-right datepicker" autocomplete="off"   ></td>
										</tr>
										<tr>
											<td class="text-right right">Building Permit</td>
											<td><input type="text" id="building_permit_processed"  style="background-color:#fff" name="building_permit_processed" value="" class="form-control text-right datepicker" autocomplete="off"   ></td>
											<td><input type="text" id="building_permit_released"  style="background-color:#fff" name="building_permit_released" value="" class="form-control text-right datepicker" autocomplete="off"   ></td>
										</tr>

										<tr>
											<td class="text-right right">Electrical Permit</td>
											<td><input type="text" id="electrical_permit_processed" style="background-color:#fff" name="electrical_permit_processed" value="" class="form-control text-right datepicker" autocomplete="off"   ></td>
											<td><input type="text" id="electrical_permit_released" style="background-color:#fff" name="electrical_permit_released" value="" class="form-control text-right datepicker"   autocomplete="off"   ></td>
										</tr>

										<tr>
											<td class="text-right right">Sanitary Permit</td>
											<td><input type="text" id="sanitary_permit_processed"   autocomplete="off"  style="background-color:#fff" name="sanitary_permit_processed" value="" class="form-control text-right datepicker"></td>
											<td><input type="text" id="sanitary_permit_released"  autocomplete="off"   style="background-color:#fff" name="sanitary_permit_released" value="" class="form-control text-right datepicker"></td>
										</tr>

										<tr>
											<td class="text-right right">Occupancy Permit</td>
											<td><input type="text" id="occupancy_permit_processed"  autocomplete="off"   style="background-color:#fff" name="occupancy_permit_processed" value="" class="form-control text-right datepicker"></td>
											<td><input type="text" id="occupancy_permit_released"  autocomplete="off"   style="background-color:#fff" name="occupancy_permit_released" value="" class="form-control text-right datepicker"></td>
										</tr> 
									</tbody>
								</table>
							</div>
						</div>
					</div>	

					<div class="row">
						<div class="col-lg-12">
							<table width="100%" class="table table-bordered table-striped table-hover">
								<thead>
									<tr>
										<th width="20%" class="text-center center" style="font-size:10pt; padding:0px; margin:0px">BLOCK</th>
										<th width="20%" class="text-center center" style="font-size:10pt; padding:0px; margin:0px">LOT</th>
										<th width="30%" class="text-center center" style="font-size:10pt; padding:0px; margin:0px">TD LAND NO.</th>
										<th width="30%" class="text-center center" style="font-size:10pt; padding:0px; margin:0px">TD BLDG NO.</th>
									</tr>
								</thead>
								<tbody id="tbody">
								</tbody>
							</table>
						</div>
					</div>	
				</div>
			</div>

			<div class="col-lg-3"></div>
		</div>
	</div>
</form>
