Encargo Vigencia Form HTML

<?php echo $this->displayMessage(); ?>

<?php
$form = $this->form;
$form->prepare();
$form->setAttribute('class', 'form-horizontal');
$this->formFormat()->setIsView($this->isView);

?>
<div class="portlet box green">
    <div class="portlet-title">
        <div class="caption">
            <i class="fa fa-globe"></i> Vigência dos Encargos
        </div>
    </div>
    <div class="portlet-body form">
        <!-- BEGIN FORM-->
        <?php echo $this->form()->openTag($form); ?>
        <?php echo $this->formHidden($form->get('id')); ?>
        <div class="form-body">
            <?php echo $this->formFormat($form->get('encargo')); ?>
            <div id="noneSelected" class="formDinamico">
                <label class="col-md-3 control-label">&nbsp;</label>
                <div class="form-group">
                    <div class="col-md-4">
                        <h4>Selecione um encargo para continuar...</h4>
                    </div>
                </div>
            </div>
            <div id="contentFormVariavel" class="formDinamico hide">
                <?php echo $this->formFormat($form->get('dataVigencia')); ?>
                <div id="valores">
                    <?php echo $this->formFormat($form->get('valores')); ?>
                </div>
                <div class="form-group">
                    <label class="col-md-3 control-label"></label>
                    <div class="col-md-4">
                        <a title="Adicionar nova faixa" class="btn green adicionar" href="javascript:void(0);"><i class="fa fa-plus"></i> Adicionar</a>
                        <a title="Remover última faixa" class="btn red remover" href="javascript:void(0);"><i class="fa fa-trash-o"></i> Remover</a>
                    </div>
                </div>
            </div>
            <div id="contentFormFixo" class="formDinamico hide"></div>
        </div>
        <div class="form-actions fluid">
            <div class="col-md-offset-3 col-md-9">
                <?php echo $this->formSubmit($form->get('confirmar')); ?>
                <?php echo $this->formSubmit($form->get('cancelar')); ?>
            </div>
        </div>
        <?php echo $this->form()->closeTag(); ?>
        <!-- END FORM-->
    </div>
</div>

<script type="text/javascript" src="/assets/scripts/pages/encargo-vigencia.js"></script>
<script type="text/javascript">
<!--
jQuery(document).ready(function() {
    EncargoVigencia.init();
});
//-->
</script>

<style type="text/css">
<!--
.col-md-6>label {
    padding-right: 20px;
}
-->
</style>