PLAN MODIFICATIONS
ORDER FORM
Who are you?
*
Homeowner
Builder
Realtor
Other
What brokerage are you associated with?
Company Name:
*
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Who are you representing?
*
Builder
Client
Do you have a builder?
*
Yes
No
NAME of Builder / Company
Do you have a client attached to this project?
*
Yes
No
Your Client's Name:
First Name
Last Name
Your Client's Email:
example@example.com
Your Client's Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Responsible Billing Party?
*
Homeowner
Builder
Realtor
Other
Project Information:
Project Address:
City:
Development:
Lot Number:
Has this plan previously been engineered?
*
Yes
No
Do you need a REScheck?
*
Yes
No
Do you want your 3D Visuals updated?
*
Yes
No
Redlined Plan (if applicable)
Browse Files
Drag and drop files here
Choose a file
Please upload either a redlined plan and/or a detailed list of changes or email to Brittany at b.reinwald@virtuactive.com
Cancel
of
Survey Certificate Upload
Browse Files
Drag and drop files here
Choose a file
Please upload your survey certification below or email to Brittany (b.reinwald@virtuactive.com)
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Modification Notes:
Please let us know if there is anything specific you would like us to know regarding this project.
Plan to Reference:
If you are making modifications off another plan please reference that plan below
Plan Name:
Lot Number (if applicable)
If different from above
Development (if applicable)
If different from above
Address (if applicable)
If different from above
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