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.
Creating New Documents
To create a new document, choose File
New Document and select the desired size and orientation.
See also
Page URL: http://www.GRAHL-software.com/pdfannotator/std/en/help/index.html?filesnew.htm