You can use PDF Annotator not only to edit existing documents, but also to create new documents from scratch. Just start with a blank document and add pages as you wish. In this way, you can use PDF Annotator for quick notes or sketches, or add pictures and optionally comments.
To create a new document, choose File New Document and select the desired Style, Orientation and Size. By entering a number of Pages, you can create a document with multiple pages.
To create a new document based on a document template, click the Template tab and select a template.