I modified Matthew's answer slightly:
\documentclass{article}
\renewcommand{\theenumi}{\Alph{enumi}}
\renewcommand{\theenumii}{\theenumi.\arabic{enumii}.0}
\renewcommand{\labelenumii}{\theenumii}
\renewcommand{\theenumiii}{\theenumi.\arabic{enumii}.\arabic{enumiii}\addtocounter{enumiii}{9}}
\renewcommand{\labelenumiii}{\theenumiii}
\begin{document}
\begin{enumerate}
\item Top level
\begin{enumerate}
\setcounter{enumii}{4}
\item Section
\begin{enumerate}
\setcounter{enumiii}{49}
\item Subsection
\item Subsection
\item Subsection
\end{enumerate}
\end{enumerate}
\end{enumerate}
\end{document}
Suppose you want to count by n, then all you have to do is to change the \addtocounter command to
\addtocounter{enumiii}{n-1}
Ex. counter by 5:
\addtocounter{enumiii}{4}

Update
Here is an updated definition that satisfy your request:
\newcounter{countby}
\setcounter{countby}{10}
\addtocounter{countby}{-1}
\renewcommand{\theenumi}{\Alph{enumi}}
\renewcommand{\theenumii}{\theenumi.\arabic{enumii}.0}
\renewcommand{\labelenumii}{\theenumii}
\renewcommand{\theenumiii}{\theenumi.\arabic{enumii}.\arabic{enumiii}
\addtocounter{enumiii}{\arabic{countby}}}
\renewcommand{\theenumiv}{
\addtocounter{enumiii}{-\arabic{countby}}
\theenumi.\arabic{enumii}.\arabic{enumiii}.\arabic{enumiv}
\addtocounter{enumiii}{\arabic{countby}}
}
\renewcommand{\labelenumiv}{\theenumiv}
This time, you only need to find the command \setcounter{countby}{...} and set it with the desired number you want to count by. Here is an example, suppose for some reason we want to count by 17:
\setcounter{countby}{17}

:-)Francis's solution is more customizable to situations like that. – Matthew Leingang Aug 13 '13 at 23:50