<x-admin.layout>
    <x-slot name="title">PWD Electrical for Strom Drain Water / स्टॉर्म वॉटर ड्रेन नाहरकत:दाखला परवानगी (NOC)</x-slot>
    <x-slot name="heading">PWD Electrical for Strom Drain Water / स्टॉर्म वॉटर ड्रेन नाहरकत:दाखला परवानगी (NOC)</x-slot>

    <div class="row" id="addContainer">
        <div class="col-sm-12">
            <div class="card">
                <form class="theme-form" name="addForm" id="addForm" enctype="multipart/form-data">
                    @csrf

                    <div class="card-header">
                        <h4 class="card-title">Add Details / माहिती भरा</h4>
                    </div>

                    <div class="card-body">
                        {{-- Applicant Details --}}
                        <h5 class="text-primary">Applicant Details / अर्जदाराची माहिती</h5>
                        <div class="mb-3 row">
                            <div class="col-md-4">
                                <label class="col-form-label" for="applicant_name">Applicant Name / अर्जदाराचे नाव<span class="text-danger">*</span></label>
                                <input class="form-control" id="applicant_name" name="applicant_name" type="text" placeholder="Enter Applicant Name / अर्जदाराचे नाव भरा" required>
                                <span class="text-danger is-invalid applicant_name_err"></span>
                            </div>

                            <div class="col-md-4">
                                <label class="col-form-label" for="applicant_address">Applicant Address / अर्जदाराचा पत्ता<span class="text-danger">*</span></label>
                                <input class="form-control" id="applicant_address" name="applicant_address" type="text" placeholder="Enter Address / पत्ता भरा" required>
                                <span class="text-danger is-invalid applicant_address_err"></span>
                            </div>
                            {{--
                            <div class="col-md-4">
                                <label class="col-form-label" for="mobile_no">Mobile Number / मोबाईल नंबर<span class="text-danger">*</span></label>
                                <input class="form-control" id="mobile_no" name="mobile_no" type="text" placeholder="Enter Mobile No. / मोबाईल नंबर भरा">
                                <span class="text-danger is-invalid mobile_no_err"></span>
                            </div> --}}

                            <div class="col-md-4">
                                <label class="col-form-label" for="mobile_no">Mobile Number / मोबाईल नंबर<span class="text-danger">*</span></label>
                                <input class="form-control" id="mobile_no" name="mobile_no" type="text" placeholder="Enter Mobile No. / मोबाईल नंबर भरा" maxlength="10" pattern="\d{10}" title="Please enter exactly 10 digits" required inputmode="numeric" oninput="this.value = this.value.replace(/[^0-9]/g, '').slice(0,10);"  required>
                                <span class="text-danger is-invalid mobile_no_err"></span>
                            </div>

                            <div class="col-md-4">
                                <label class="col-form-label" for="email_id">Email ID / ईमेल आयडी<span class="text-danger">*</span></label>
                                <input class="form-control" id="email_id" name="email_id" type="email" placeholder="Enter Email ID / ईमेल भरा"  required>
                                <span class="text-danger is-invalid email_id_err"></span>
                            </div>
                        </div>

                        {{-- Owner Details --}}
                        <h5 class="text-primary">Owner Details / मालकाची माहिती</h5>
                        <div class="mb-3 row">
                            <div class="col-md-4">
                                <label class="col-form-label" for="property_owner_name">Property Owner Name / मालकाचे नाव<span class="text-danger">*</span></label>
                                <input class="form-control" id="property_owner_name" name="property_owner_name" type="text" placeholder="Enter Owner Name / मालकाचे नाव" required>
                                <span class="text-danger is-invalid property_owner_name_err"></span>
                            </div>

                            <div class="col-md-4">
                                <label class="col-form-label" for="property_address">Property Address / मालमत्तेचा पत्ता<span class="text-danger">*</span></label>
                                <input class="form-control" id="property_address" name="property_address" type="text" placeholder="Enter Address / पत्ता भरा" required>
                                <span class="text-danger is-invalid property_address_err"></span>
                            </div>
                            {{-- <div class="col-md-4">
                                <label class="col-form-label" for="ward">Ward / प्रभाग<span class="text-danger">*</span></label>
                                <input class="form-control" id="ward" name="ward" type="text" placeholder="Enter Ward No. / प्रभाग क्रमांक भरा">
                                <span class="text-danger is-invalid ward_err"></span>
                            </div> --}}
                            <div class="col-md-4">
                                <label class="col-form-label" for="ward_area">Ward Area / प्रभाग क्षेत्र<span class="text-danger">*</span></label>
                                <select class="form-select" name="ward_area" id="ward_area" required>
                                    <option value="">Select Ward Area</option>
                                    @foreach ($options as $ward)
                                        <option value="{{ $ward->id }}">{{ $ward->name }}</option>
                                    @endforeach
                                </select>
                                <span class="text-danger is-invalid ward_area_err"></span>
                                 <div class="selected-value d-none" id="ward_area"></div>
                            </div>
                        </div>

                        {{-- Other Details --}}
                        <h5 class="text-primary">Property & Authorization / मालमत्ता व अधिकृतता</h5>
                        <div class="mb-3 row">

                            <div class="col-md-6">
                                <label class="col-form-label" for="property_type">Property Type / मालमत्तेचा प्रकार<span class="text-danger">*</span></label>
                                <textarea class="form-control" name="property_type" id="property_type" cols="30" rows="2" placeholder="Enter Property Type / मालमत्तेचा प्रकार भरा" required></textarea>
                                <span class="text-danger is-invalid property_type_err"></span>
                            </div>


                            <div class="col-md-3">
                                <label class="col-form-label" for="authorization">Authorization / अधिकृतता<span class="text-danger">*</span></label>
                                <select class="form-select" name="authorization" id="authorization" required>
                                    <option value="" disabled selected>-- Select / निवडा --</option>
                                    <option value="Yes">Yes / होय</option>
                                    <option value="No">No / नाही</option>
                                </select>
                                <span class="text-danger is-invalid authorization_err"></span>
                                 <div class="selected-value d-none" id="authorization"></div>
                            </div>
                             <div class="col-md-4">
                                <label class="col-form-label" for="survey_details">Survey Details<span class="text-danger">*</span></label>
                                <input class="form-control" id="survey_details" name="survey_details" type="text" placeholder="Enter Sorvey Details" required>
                                <span class="text-danger is-invalid survey_details_err"></span>
                            </div>

                            {{-- Uncomment if zone dropdown is used --}}
                            {{-- <div class="col-md-3">
                                <label class="col-form-label" for="zone">Zone / झोन<span class="text-danger">*</span></label>
                                <select class="form-select" name="zone" id="zone">
                                    <option value="">Select Zone / झोन निवडा</option>
                                    @foreach ($zones as $zone)
                                        <option value="{{ $zone->name }}">{{ $zone->name }}</option>
                                    @endforeach
                                </select>
                                <span class="text-danger is-invalid zone_err"></span>
                            </div> --}}
                        </div>

                        {{-- Documents --}}
                        <h5 class="text-primary">Documents / कागदपत्रे</h5>
                        <div class="mb-3 row">
                            <div class="col-md-3">
                                <label class="col-form-label" for="plan_copys">Sanctioned Plan Copy / मंजूर प्लान प्रत<span class="text-danger">*</span></label>
                                <input class="form-control" id="plan_copys" name="plan_copys" type="file" placeholder="Enter Plan Copy" required>
                                <span class="text-danger is-invalid plan_copys_err"></span>
                            </div>

                            <div class="col-md-3">
                                <label class="col-form-label" for="side_visit_geotag_pics">Site Visit Geotag Photo / साइट भेट फोटो<span class="text-danger">*</span></label>
                                <input class="form-control" id="side_visit_geotag_pics" name="side_visit_geotag_pics" type="file" placeholder="Enter side visit geotag photo" required>
                                <span class="text-danger is-invalid side_visit_geotag_pics_err"></span>
                            </div>

                            <div class="col-md-3">
                                <label class="col-form-label" for="property_docs">Property Document / मालमत्तेचे दस्तऐवज<span class="text-danger">*</span></label>
                                <input class="form-control" id="property_docs" name="property_docs" type="file" placeholder="Enter Document No. / दस्तऐवज क्रमांक भरा" required>
                                <span class="text-danger is-invalid property_docs_err"></span>
                            </div>
                        <div class="col-md-6" id="upload_section" style="display:none;">
                                <label class="col-form-label" for="prescribed_doc">Upload Application In Prescribed Format / विहित नमुन्यातील अर्ज अपलोड करा <span class="text-danger">*</span></label>
                                <input class="form-control" id="prescribed_doc" name="prescribed_doc" type="file" placeholder="Enter Document No. / दस्तऐवज क्रमांक भरा" required>
                                <span class="text-danger is-invalid prescribed_doc_err"></span>
                            </div>
                        </div>


                        {{-- Declaration --}}
                        <div class="mb-3 row">
                            <label class="col-form-label" for="is_correct_info">Declaration / घोषणापत्र:</label>
                            <div class="col-md-12">
                                <div class="form-check d-flex align-items-start">
                                    <input type="checkbox" class="form-check-input mt-1" id="is_correct_info" name="is_correct_info" value="yes" required>
                                    <label class="form-check-label ms-2" for="is_correct_info">
                                        "All information provided above is correct and I shall be fully responsible for any discrepancy. <br>
                                        वरील पुरविलेली सर्व माहिती अचूक आहे व त्यामध्ये कोणतीही चूक आढळल्यास मी पूर्णपणे जबाबदार असेन."
                                    </label>
                                </div>
                                <span class="text-danger is-invalid is_correct_info_err"></span>
                            </div>
                        </div>

                    </div>

                    {{-- Footer --}}
                    <div class="form-group" style="text-align: center;">
                        <button type="button" id="saveAndPrintBtn" class="btn btn-success">Save and Print</button>
                    </div>
                    <div class="card-footer" id="card-footer" style="display:none;">
                        <button type="submit" class="btn btn-primary" id="addSubmit">Submit / सादर करा</button>
                        <button type="reset" class="btn btn-warning">Reset / पुन्हा भरा</button>
                    </div>

                </form>
            </div>
        </div>
    </div>

</x-admin.layout>


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<script src="https://cdnjs.cloudflare.com/ajax/libs/html2canvas/1.4.1/html2canvas.min.js"></script>


{{-- Add --}}
<script>
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        var formdata = new FormData(this);
        $.ajax({
            url: '{{ route('strom-water-drains.store') }}',
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